Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marc A Krzystek, DMSPA-C

Individual provider Physician Assistant · NPI 1457624058

Marc A Krzystek, DMSPA-C is a Physician Assistant in Charleston, South Carolina. Qualified in 2011, 15 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group and accepts Medicare assignment. Licensed in New York and South Carolina.

Years since qualifying
15
Licensed in
NY, SC
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5365 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 015478 (NY)

Record details

NPI number1457624058
Entity typeIndividual (Type 1)
GenderMale
Credentials DMSPA-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2012
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Charleston