Keith R Thomae, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2010011996 Issued in MO

Practice address

3533 Dunn Rd
Suite 210
Florissant, MO 63033-6761

Phone

(314) 838-6600

Fax

(314) 838-6611

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, AR, TN3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas Healthcare Services LLC

  • Urology Physician
  • Hot Springs, AR
  • NPI 1174582621

  Surgery

  Medicare reassignment NPD
• Putnam County Hospital

  • Critical Access Hospital
  • Greencastle, IN
  • NPI 1578608188
  Medicare reassignment NPD
• Saint Francis Physician Network, LLC

  • Family Medicine Physician
  • Covington, TN
  • NPI 1295258002
  Medicare reassignment NPD
• Metro East Surgical Specialty SC

  • Clinic/Center
  • Highland, IL
  • NPI 1881631604
  NPD Authorized official
• Highland Ambulatory Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Highland, IL
  • NPI 1790739894
  NPD (past) Authorized official
• Putnam County Hospital

  • Rural Health Clinic/Center
  • Greencastle, IN
  • NPI 1295972412
  NPD
• Putnam Surgical Specialties

  • Surgery Physician
  • Greencastle, IN
  • NPI 1134203490
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1184679409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 W DEYOUNG ST",
            "address_2": "STE 305",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595898",
            "telephone_number": "314-838-6600",
            "fax_number": "314-838-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 DUNN RD",
            "address_2": "SUITE 210",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336761",
            "telephone_number": "314-838-6600",
            "fax_number": "314-838-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAE",
        "first_name": "KEITH",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2010011996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081399",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Authority Home Health LLC
• Therapy Desk
• Donna Thielemier
• Samantha Thing
• This Too Shall Pass LLC
• Thomas E Okeeffe DDS Apc
• Antonia Thomas
• Joanna Thomas, DC
• Quincy Von Thomas
• Rimiko Thomas, PHD

• Surgery Physician in Florissant, MO
• Providers in Florissant, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.