Doctor profile · Federal record
Dr. Keith Thatch, MD
Pediatric Surgery Physician · Pediatric Surgery Physician · Pediatric Surgery Physician · St Petersburg, FL
- NPI 1053577742
- 18 yrs on file
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 5 locations .
- Primary practice
-
601 5Th St S Ste 306
St Petersburg, FL 337014804
(727) 767-3439
fax (727) 767-4346 - Additional location
-
1072 N Liberty St Ste 200
Boise, ID 837048963
(208) 302-4600
fax (208) 302-4655 - Additional location
-
305 E Jefferson St
Boise, ID 837126231
(208) 381-7370 - Additional location
-
1000 E Broad St
Richmond, VA 232191930
(804) 828-3500
fax (804) 628-4501 - Additional location
-
16230 Summerlin RD Ste 215
Fort Myers, FL 339085769
(239) 343-6050
fax (239) 343-9909 - Mailing address
-
601 5Th St S
St Petersburg, FL 337014804
Show 2 more locations
Credentials & registration
- NPI registered
- August 2008 — 18 yrs on file
- Profile last updated
- August 20, 2024
- Specialty taxonomy
- 2086S0120X — NUCC code
- State licenses (3)
- Florida #ME134648 · Idaho #M-15720 · Virginia #0101280591
- Medicaid
- FL #023296400
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053577742. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$225
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Baxter Healthcare | 1 | $114.75 | |
| Karl Storz Endoscopy-America | 1 | $109.89 |
By nature of payment
Frequently asked questions
What is Dr. Keith Thatch's medical specialty?
Dr. Keith Thatch practices Pediatric Surgery Physician in St Petersburg, FL.
Where does Dr. Keith Thatch practice?
Dr. Keith Thatch practices at 601 5Th St S Ste 306, St Petersburg, FL 337014804. Office phone: 7277673439.
What is Dr. Keith Thatch's NPI?
Dr. Keith Thatch's National Provider Identifier (NPI) is 1053577742, issued by NPPES.