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NPISignal

Individual Healthcare Provider

Sthorn Thatayatikom, MD

NPI Record: ActivePediatrics — Pediatric Allergy/Immunology
NPI1134394596
Orlando, Florida

Provider's NPPES record last updated: November 21, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1134394596
Primary Specialty
Pediatrics — Pediatric Allergy/Immunology
Practice Location
Orlando, 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 identified

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 17, 2026, 11:01 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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Pediatric Allergy/Immunology

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

    Taxonomy code 2080P0201X
  • Internal Medicine

    Allergy & Immunology

    Allopathic & Osteopathic Physicians

    An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

    Taxonomy code 207RA0201X

Provider-Reported License Information

Pediatrics (Florida)
ME114556
Internal Medicine (Florida)
ME114556
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3000 N Orange Ave Ste De

Orlando, Florida 32804-7613

Phone: (407) 845-8342

Additional Practice Location

1600 Sw Archer Rd

Box 100371

Gainesville, Florida 32610-0296

Phone: (352) 294-5252

Fax: (352) 294-8068

Record Information

Enumeration Date
April 28, 2008
Provider's NPPES Record Last Updated
November 21, 2023
Certification Date
November 21, 2023
NPISignal NPPES Dataset
August 2026

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