Ethan Caleb Geiger (NPI# 1992210710, PAC ID# 8224399365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1992210710 |
| PAC ID by PECOS | 8224399365 |
| Professional Enrollment ID | I20180306000663 |
| Full Name | Ethan Caleb Geiger |
| Organization Legal Name | J PHILLIP MYATT MD PLLC |
| Address |
321 Richland W Circle Waco TX 76712-7919 |
| Phone Number | 2542359355 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6305089749 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450042 | PROVIDENCE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 Richland W Cir, Suite 2, Waco, TX 76712-7935 | 2543008807 | J PHILLIP MYATT MD PLLC |
| 321 Richland W Circle, Waco, TX 76712-7919 | 2542359355 | J PHILLIP MYATT MD PLLC |
| Organization Legal Name | J PHILLIP MYATT MD PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Fichter Jr. | Physician Assistant | J Phillip Myatt Md Pllc | 321 Richland W Circle, Waco, TX 76712-7919 |
| Terri Denise Buchanan | Nurse Practitioner | J Phillip Myatt Md Pllc | 321 Richland W Circle, Waco, TX 76712-7919 |
| Street Address |
321 RICHLAND W CIRCLE |
| City | WACO |
| State | TX |
| Zip | 76712-7919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Fichter Jr. | Physician Assistant | J Phillip Myatt Md Pllc | 321 Richland W Circle, Waco, TX 76712-7919 |
| Terri Denise Buchanan | Nurse Practitioner | J Phillip Myatt Md Pllc | 321 Richland W Circle, Waco, TX 76712-7919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ntiense Covey | Clinical Social Worker | 200 W Hwy 6, Suite 217, Waco, TX 76712 | |
| Todd Moffatt | General Surgery | 1000 W Hwy 6, Suite 410, Waco, TX 76712 | |
| Eric F Oneill | Plastic and Reconstructive Surgery | 1000 W Hwy 6, Suite 500, Waco, TX 76712 | |
| Lute George Oas | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| Justin Wylie Wray | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| David J Schickner | Neurosurgery | David J. Schickner, M.d., P.a. | 6901 Medical Pkwy, Waco, TX 76712-2589 |
| Charles W Guy | Plastic and Reconstructive Surgery | 101 Burnett Ct, Suite B, Waco, TX 76712-3100 | |
| Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Nina Wilson | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Travis Gene Volcik | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Find all physicians in zip 76712 | |||
| City | WACO |
| Zip Code | 76712 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WACO + PHYSICIAN ASSISTANT |
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| 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.