Individual provider Active NPI

Crystal Cassandra Duncombe, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Summerville, SC
National Provider Identifier
1376395673
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Summerville Medical Center
109 Burton Ave. Suite a
Summerville, SC 29285
Phone
(843) 991-6981
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Summerville Medical Center
109 Burton Ave. Suite a
Summerville, SC 29285

Mailing address

Summerville Medical Center
109 Burton Ave. Suite a
Summerville, SC 29285
Phone (843) 991-6981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241011002932 SC Order and Referring Only - Family PracticePractitioner - Family Practice 0648702902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1376395673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUMMERVILLE MEDICAL CENTER",
            "address_2": "109 BURTON AVE. SUITE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29285",
            "telephone_number": "843-991-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUMMERVILLE MEDICAL CENTER",
            "address_2": "109 BURTON AVE. SUITE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29285",
            "telephone_number": "843-991-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCOMBE",
        "first_name": "CRYSTAL",
        "middle_name": "CASSANDRA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.