Wilmot R Gissendanner Iv · Physician Assistant

3000 Saint Matthews Rd, Orangeburg, SC 29118-1442

Overview

Wilmot R Gissendanner Iv is a Physician Assistant practicing in Orangeburg, South Carolina. The National Provider Identifier (NPI) is #1578426441, which was assigned on December 6, 2025, and the registration record was last updated on December 6, 2025. The practitioner's main practice location is at 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442; the contact telephone number is 8033952871. The primary taxonomy of Wilmot R Gissendanner Iv is Physician Assistant (363A00000X). Wilmot R Gissendanner Iv is licensed to practice in the state of South Carolina.

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1578426441
Entity Type Individual
Provider Name WILMOT R GISSENDANNER IV
Gender Male
Practice Address 3000 Saint Matthews Rd
Orangeburg
SC 29118-1442
Practice Telephone 8033952871
Mailing Address Po Box 23321
New York
NY 10087-3321
Certification Date 2025-12-06
Enumeration Date 2025-12-06
Last Update Date 2025-12-06
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician AssistantSC

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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Location Information

Street Address 3000 SAINT MATTHEWS RD
City ORANGEBURG
State SC
Zip Code 29118-1442
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Matthew Mercer 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Certified Registered Nurse Anesthetist2016-05-25
Kiara Jenkins 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Psychiatric/Mental Health Nurse Practitioner2026-03-13
George Thomas Bayer 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Emergency Medicine Physician2006-05-10
Jennifer Hearn 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Registered Dietitian2025-07-15
Joseph Daniels 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Certified Registered Nurse Anesthetist2020-04-02
Samantha Hoover 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Nurse Practitioner2021-08-16
Medical University Hospital Authority 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Community/Retail Pharmacy2025-09-08
Matthew Lynn Blackburn 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Emergency Medicine Physician2015-04-05
Madhannagari Naveen Kumar Reddy 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Internal Medicine Physician2014-06-23
Thomas R Hall 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Emergency Medicine Physician2006-08-18
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
South Carolina Dept of Mental Health Accounting Office 2319 St Matthews Road, Orangeburg, SC 29118Mental Health Clinic/Center (Including Community Mental Health Center)2006-07-12
Eartha Mae Rice 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042Mental Health Counselor2026-02-11
Jalal Eddin Hakmei 3031 Saint Matthews Rd, Orangeburg, SC 29118-1443Nephrology Physician2011-08-10
Lakeshia Denise Morgan 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042Mental Health Counselor2026-03-30
Charito Sue Ward 1205 Hutto St, Orangeburg, SC 29118-1454Family Nurse Practitioner2025-11-18
Charles Francis Jacob 2650 Saint Matthews Rd, Orangeburg, SC 29118-1344Physical Therapist2024-10-01
Radames Adamo Zuquello 3709 Magnolia St, Orangeburg, SC 29118-1403Nephrology Physician2017-06-15
Lashawnda Chantle Cannady 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042Mental Health Counselor2026-03-23
Ropheka Cares LLC 2037 St. Matthews Road, Orangeburg, SC 29118-2036Home Health Agency2023-10-12
Chyrese Jenkins 3709 Magnolia St, Orangeburg, SC 29118-1403Family Nurse Practitioner2018-05-21
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.