Individual Healthcare Provider
Keith Andrew Thatch, MD
Provider's NPPES record last updated: August 20, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1053577742
- Primary Specialty
- Surgery — Pediatric Surgery
- Practice Location
- St Petersburg, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 4:11 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Surgery
Pediatric Surgery
Allopathic & Osteopathic Physicians
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Taxonomy code 2086S0120X
Provider-Reported License Information
- Surgery (Florida)
- ME134648
- Surgery (Idaho)
- M-15720
- Surgery (Virginia)
- 0101280591
Practice Locations
Practice Location
601 5th St S Ste 306
St Petersburg, Florida 33701-4804
Phone: (727) 767-3439
Additional Practice Location
1000 E Broad St
Richmond, Virginia 23219-1930
Phone: (804) 828-3500
Fax: (804) 628-4501
Additional Practice Location
16230 Summerlin Rd Ste 215
Fort Myers, Florida 33908-5769
Phone: (239) 343-6050
Fax: (239) 343-9909
Additional Practice Location
305 E Jefferson St
Boise, Idaho 83712-6231
Phone: (208) 381-7370
Additional Practice Location
1072 N Liberty St Ste 200
Boise, Idaho 83704-8963
Phone: (208) 302-4600
Fax: (208) 302-4655
Record Information
- Enumeration Date
- August 1, 2008
- Provider's NPPES Record Last Updated
- August 20, 2024
- Certification Date
- August 20, 2024
- NPISignal NPPES Dataset
- August 2026
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