Active NPIIndividual provider

Wilmot R Gissendanner IV

Physician Assistant in Orangeburg, South Carolina

NPI Number1578426441
Practice location
3000 Saint Matthews RD, Orangeburg, SC 29118-1442
Fax
—
Last updated
December 6, 2025

Wilmot R Gissendanner is a Physician Assistant based in Orangeburg, SC. Wilmot R Gissendanner practices in Orangeburg, SC. The NPI Number for Wilmot R Gissendanner is 1578426441. The current practice location address for Wilmot R Gissendanner is 3000 Saint Matthews RD, Orangeburg, SC 29118-1442 and can be reached out via phone at 803-395-2871.

Provider Profile Details

NPI Number
1578426441
Provider Name
Wilmot R Gissendanner
Provider Entity Type
Individual
Gender
Male
Address
3000 Saint Matthews RD, Orangeburg, SC 29118-1442
Phone Number
803-395-2871
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 6, 2025
Last Update Date
December 6, 2025
Certification Date
December 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3000 Saint Matthews RD
Orangeburg, SC 29118-1442
Zip
29118-1442
Phone Number
803-395-2871
Orangeburg, SC 29118Get directions →

Provider Business Mailing Address Details

Address
Po Box 23321
New York, NY 10087-3321
City
New York
State
NY
Zip
10087-3321

License Information

License State
SC
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wilmot R Gissendanner IV?

The NPI number of Wilmot R Gissendanner IV is 1578426441. It was assigned on December 6, 2025 and is currently active in the NPPES registry.

What is the specialty of Wilmot R Gissendanner IV?

Wilmot R Gissendanner IV is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Wilmot R Gissendanner IV practice?

The practice location is 3000 Saint Matthews RD, Orangeburg, SC 29118-1442. The office can be reached at 803-395-2871 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578426441 directly on the NPPES registry website.

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