Keith Andrew Thatch in St Petersburg - Pediatric Surgery

Keith Andrew Thatch - NPI 1053577742

Keith Andrew Thatch is a Pediatric Surgery in St Petersburg, Florida. Keith Andrew Thatch practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Keith Andrew Thatch is 1053577742. The last update date is 2022-10-11.

Keith Andrew Thatch's current location address is 601 5th St S, St Petersburg, Florida. You can contact this provider via phone number 7277674170 and fax number 7277674346. The mailing address for Keith Andrew Thatch is 601 5th St S, St Petersburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Andrew Thatch
Address 601 5th St S, St Petersburg, Florida
Phone Number 7277674170
Fax Number 7277674346
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1053577742
Provider Enumeration Date 2008-08-01
Last Updated Date 2022-10-11

Provider Mailing Address Detail

Address 601 5th St S
City St Petersburg
State Florida (FL)
Post Code 337014804
Phone Number 7277674170
Fax Number 7277674346

Provider's Primary Taxonomy Detail

Speciality Pediatric Surgery
Taxonomy 2086S0120X
Licence No M-15720
Definition:
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
23296400 FL --

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FAQs about Keith Andrew Thatch

What is the unique identification code assigned to Keith Andrew Thatch by the Centers for Medicare & Medicaid Services?

The Keith Andrew Thatch has been issued the NPI (National Provider Identifier) 1053577742. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Keith Andrew Thatch is physically located?

The Keith Andrew Thatch is physically situated at the following address: 601 5Th St S, St Petersburg, FL, 337014804.

What is the Keith Andrew Thatch's area of specialization and corresponding taxonomy classification?

The Keith Andrew Thatch's specialty field is Pediatric Surgery, and it falls under the taxonomy code 2086S0120X, which categorizes healthcare providers based on their specialties.

On what date did the Keith Andrew Thatch receive its 1053577742 assignment from the Centers for Medicare & Medicaid Services?

The Keith Andrew Thatch was assigned its 1053577742 by the Centers for Medicare & Medicaid Services on 2008-08-01.

As of what date were the details related to Keith Andrew Thatch most recently updated or revised?

The information pertaining to Keith Andrew Thatch, including its address, specialty, and other relevant details, was last updated or revised on 2022-10-11.

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