Jerry K Gideon, MD

Pathologist in San Angelo, Texas · NPI 1629053384

Jerry Gideon is one of 5 pathologists practicing in San Angelo, Texas. Jerry Gideon practices with Shannon Clinic.

Registry record (NPPES)

NPI
1629053384
Type
Type 1 · Individual
Primary taxonomy
Pathology, Blood Banking & Transfusion Medicine · 207ZB0001X
Address on file
120 E Harris Ave
San Angelo, TX 76903-5904
(325) 658-1511
Enumerated
Dec 14, 2005
Record last updated
Aug 15, 2013
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Pathology
Revalidation due
No date set by CMS

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Practice locations

More pathologists in San Angelo

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.