DAVID HAVNAER KRUCHKO DO NPI 1770089666

NPI Information

  • NPI: 1770089666
  • Provider Name: DAVID HAVNAER KRUCHKO, DO
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5500 FRONT ST
    SUMMERVILLE, SC
    ZIP 29486
  • Phone: (843) 876-1344

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NPI Details

David Havnaer Kruchko, DO is a gastroenterology internal medicine in Summerville, SC with 7 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. David Havnaer Kruchko, DO NPI is 1770089666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduation Year:2018

The provider's business location address is:

5500 FRONT ST
SUMMERVILLE, SC
ZIP 29486-137
Phone: (843) 876-1344

The NPI 1770089666 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2018 and was last updated on 5/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine1770089666ILLINOISNo
2207RG0100XInternal MedicineGastroenterology036.154737ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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