Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keith Andrew Thatch, MD

Individual provider Pediatric Surgery Physician · NPI 1053577742

Dr. Keith Andrew Thatch, MD is a Pediatric Surgery Physician in St Petersburg, Florida. Works from 5 locations. Licensed in Florida, Idaho and Virginia.

Licensed in
FL, ID, VA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 5th St S Ste 306
St Petersburg, FL 33701-4804
Phone: (727) 767-3439
Fax: (727) 767-4346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 — (239) 343-6050
  • 1072 N Liberty St Ste 200, Boise, ID 83704-8963 — (208) 302-4600
  • 305 E Jefferson St, Boise, ID 83712-6231 — (208) 381-7370
  • 1000 E Broad St, Richmond, VA 23219-1930 — (804) 828-3500

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence ME134648 (FL)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence M-15720 (ID)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 0101280591 (VA)

Record details

NPI number1053577742
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2008
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address601 5th St S, St Petersburg, FL 33701-4804

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