Shannon Lynn Gideon (NPI# 1457708257, PAC ID# 8123310968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457708257 |
| PAC ID by PECOS | 8123310968 |
| Professional Enrollment ID | I20180727000320 |
| Full Name | Shannon Lynn Gideon |
| Organization Legal Name | HUNT REGIONAL MEDICAL PARTNERS |
| Address |
3206 Interstate 30 Suite B Greenville TX 75402 |
| Phone Number | 9034087979 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517137748 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450352 | HUNT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3206 Interstate 30, Suite B, Greenville, TX 75402 | 9034087979 | HUNT REGIONAL MEDICAL PARTNERS |
| Organization Legal Name | HUNT REGIONAL MEDICAL PARTNERS |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivian Ebrahim | Gastroenterology | Hunt Regional Medical Partners | 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7856 |
| Angelia Rose | Nurse Practitioner | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Kimberly H Wagner | Nurse Practitioner | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Jordan K Mahan | Nurse Practitioner | Hunt Regional Medical Partners | 4101 Wesley St, Suite D, Greenville, TX 75401-5635 |
| Khaldun M Khatib | Gastroenterology | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Alfredo F Gurmendi | Thoracic Surgery | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Terry L Sadler | Physical Therapy | Hunt Regional Medical Partners | 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7856 |
| Robert F Deuell | Family Medicine | Hunt Regional Medical Partners | 4101 Wesley St, Suite D, Greenville, TX 75401-5635 |
| Johnny L Johnson | Physician Assistant | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Michelle Van Fossen | Physician Assistant | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Street Address |
3206 INTERSTATE 30 SUITE B |
| City | GREENVILLE |
| State | TX |
| Zip | 75402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Dunnigan | Dermatology | Oliver Street 5.01(a) Inc. | 8506 Wesley St, Us Dermatology Partners, Greenville, TX 75402-3812 |
| John C Lovelace | Optometry | 8709 Wesley St F, Greenville, TX 75402-3828 | |
| Matthew Bradbury | Psychiatry | 2710 Sunset Strip, Suite C, Greenville, TX 75402-3848 | |
| Todd Lane Billingsley | Physical Therapy | Healthtexas Provider Network | 4400 I H 30 W, 120 Baylor Scott and White, Greenville, TX 75402-4625 |
| Sonja C Cavett | Optometry | 2911 Terrell Rd E, Greenville, TX 75402-5567 | |
| Thomas J Goss | Chiropractic | 2824 Terrell Rd, Suite 204, Greenville, TX 75402-5568 | |
| Gurjeet S Kalra | Psychiatry | 2824 Terrell Rd, Suite 304, Greenville, TX 75402-5570 | |
| Cindy P Earl | Clinical Social Worker | Supportive Care LLC | 4910 Wellington St, Greenville, TX 75402-6007 |
| James Fox | Clinical Social Worker | Supportive Care LLC | 4910 Wellington St, Greenville, TX 75402-6007 |
| Adeel Ijaz | Nephrology | Lone Star Nephrology Care Pllc | 4309 Ridgecrest Rd, Suite 150, Greenville, TX 75402-6008 |
| Find all physicians in zip 75402 | |||
| City | GREENVILLE |
| Zip Code | 75402 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GREENVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon Lynn Gideon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.