Provider Demographics
NPI:1972764561
Name:SYLVESTER, THOMAS J (MD)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:J
Last Name:SYLVESTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 EMERSON ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6739
Mailing Address - Country:US
Mailing Address - Phone:314-991-2081
Mailing Address - Fax:314-991-2083
Practice Address - Street 1:633 EMERSON ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6739
Practice Address - Country:US
Practice Address - Phone:314-991-2081
Practice Address - Fax:314-991-2083
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125049165207X00000X
WI56170207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery