Individual
VICTOR ANSELMO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2728 SUNSET BLVD STE 400, WEST COLUMBIA, SC 29169-4839
(803) 936-7095
(803) 936-7908
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01821
NC
363A00000X
Physician Assistant
Primary
607
SC
363AS0400X
Surgical Physician Assistant
607
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012PA
—
SC
Enumeration date
05/03/2006
Last updated
01/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us