JERRY K GIDEON MD NPI 1629053384

NPI Information

  • NPI: 1629053384
  • Provider Name: JERRY K GIDEON, MD
  • Classification: Pathology - 207ZB0001X
  • Specialization: Blood Banking & Transfusion Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 120 E HARRIS AVE
    SAN ANGELO, TX
    ZIP 76903
  • Phone: (325) 658-1511

Map and Directions

Get Directions

NPI Details

Jerry K Gideon, MD is a blood banking and transfusion medicine pathology in San Angelo, TX with 38 years of experience. The provider is a physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation. Jerry K Gideon, MD NPI is 1629053384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1988

The provider's business location address is:

120 E HARRIS AVE
SAN ANGELO, TX
ZIP 76903-904
Phone: (325) 658-1511

The NPI 1629053384 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Pathology examination of tissue using a microscope, limited examination (HCPCS:88300)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
  • Evaluation of fine needle aspirate with interpretation and report (HCPCS:88173)
  • Crystal identification from tissue or body fluid (HCPCS:89060)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Special stained specimen slides to examine tissue, each multiplex procedure (HCPCS:88344)
  • Cell examination of body fluid, smears (HCPCS:88104)
  • Pathology examination of tissue using a microscope, high complexity (HCPCS:88309)

The enumeration date for this NPI number is 12/14/2005 and was last updated on 8/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZB0001XPathologyBlood Banking & Transfusion MedicineH6236TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F77530MEDICARE UPINTEXAS
2118290905MEDICAIDTEXAS
38A6675MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.