DR. KEITH ANDREW THATCH M.D. NPI 1053577742

NPI Information

DR. Keith Andrew Thatch, M.D. is a pediatric surgery surgery in St Petersburg, FL with 20 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Keith Andrew Thatch, M.D. NPI is 1053577742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2004

The provider's business location address is:

601 5TH ST S STE 306
ST PETERSBURG, FL
ZIP 33701-804
Phone: (727) 767-3439
Fax: (727) 767-4346

The NPI 1053577742 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2008 and was last updated on 10/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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