DR. KEITH ANDREW THATCH MD
NPI 1053577742
Surgery - Pediatric Surgery in St Petersburg, FL

Q: What is Keith Thatch's NPI number?

The NPI number for Keith Thatch is 1053577742. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Q: What is Keith Thatch's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Keith Thatch was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 01, 2008PECOS Enrolled

601 5TH ST S STE 306, ST PETERSBURG, FL 33701(727) 767-3439(727) 767-4346 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, Jul 31, 2024, Oct 11, 2022 and 4 more (7 updates tracked since 2018).

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About Dr. Keith Andrew Thatch Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH ANDREW THATCH MD (NPI 1053577742) is an individual pediatric surgery provider in St Petersburg, Florida, licensed in Florida (ME134648) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053577742

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameDR. KEITH ANDREW THATCHCredential: MD

Location Address601 5TH ST S STE 306St Petersburg, FL 33701-4804

Mailing Address601 5th St SSt Petersburg, FL 33701-4804 · (727) 767-4170

Phone(727) 767-3439

Fax(727) 767-4346

Sole ProprietorNo

Enumeration DateAugust 1, 2008

Last NPPES UpdateAugust 20, 20247 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1053577742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in FL · ME134648✔ Licensed in ID · M-15720✔ Licensed in VA · 0101280591

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

601 5TH ST S STE 306, St Petersburg, FL 33701

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Other Identifiers 1

Medicaid023296400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Andrew Thatch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFANI D FIVECOAT ARNP

Nurse Practitioner (Pediatrics)