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

Thor William Van Diver, MD

Individual provider Anesthesiology Physician · NPI 1023061934

Thor William Van Diver, MD is an Anesthesiology in St Petersburg, Florida. Qualified in 1990, 36 years ago. Practices with American Anesthesiology Services of Florida Inc, a 135-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
36
Licensed in
FL
In the registry since
2006
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

701 6th St S
St Petersburg, FL 33701-4814
Phone: (727) 823-2188
Fax: (727) 828-0723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence ME88143 (FL)

Record details

NPI number1023061934
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESOctober 5, 2010
Mailing addressPo Box 22005, St Petersburg, FL 33742-2005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice American Anesthesiology Services Of Florida Inc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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