Individual provider Active NPI

Marc B. Geller, PA-C

  • Medical Physician Assistant
  • Edinburg, TX
National Provider Identifier
1356798920
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10648 Issued in TX
Practice address
1601 E Sprague St
Edinburg, TX 78542-5260
Phone
(956) 378-9290
NPI assigned
May 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA60664735 WA
Medical Physician Assistant 363AM0700X PA53648 CA
Medical Physician Assistant 363AM0700X PA10648 TX Primary

Addresses

Primary practice location

1601 E Sprague St
Edinburg, TX 78542-5260

Mailing address

1601 E Sprague St
Edinburg, TX 78542-5260
Phone (956) 378-9290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA53648CAMDMedical Physician Assistant
PA60664735WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center of Mission, PLLC CurrentSince Jul 11, 2019 Accepting new patients
Dallas County Mental Health & Mental Retardation Center Past Accepting new patients

Locations

1920 E Griffin Pkwy
Mission, TX 78572
Phone (956) 584-3353

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1356798920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E SPRAGUE ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785425260",
            "telephone_number": "956-378-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E SPRAGUE ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785425260",
            "telephone_number": "956-378-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "MARC",
        "middle_name": "B.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60664735",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA53648",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.