Individual provider Active NPI

Ethan Caleb Geiger, PA-C

  • Physician Assistant
  • Waco, TX
National Provider Identifier
1992210710
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11581 Issued in TX
Practice address
321 Richland West Cir
Waco, TX 76712-7919
Phone
(254) 235-9355
Fax
(254) 235-2135
NPI assigned
Dec 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11581 TX Primary

Addresses

Primary practice location

321 Richland West Cir
Waco, TX 76712-7919

Mailing address

11 Independence TRL
Waco, TX 76708-9603
Phone (254) 723-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180306000663 TX Practitioner - Physician Assistant 8224399365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Phillip Myatt MD PLLCGroup PAC ID 6305089749, 8 clinicians

Practice addresses (Care Compare)

1008 NE Big Bend TRL
Suite 400
Glen Rose, TX 76043-4947
Phone (254) 235-9355

10201 Hwy 16
Comanche, TX 76442-4462
Phone (254) 235-9355

321 Richland W Cir
Waco, TX 76712-7919
Phone (254) 235-9355

Hospital & facility affiliations

  • Comanche County Medical Center Hospital, Comanche, TX, CCN 451382
  • Coryell Memorial Hospital Hospital, Gatesville, TX, CCN 451379
  • Ascension Providence Hospital, Waco, TX, CCN 450042
  • Parkview Regional Hospital Hospital, Mexia, TX, CCN 450400
  • Limestone Medical Center Hospital, Groesbeck, TX, CCN 451303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Falls Community Hospital and Clinic CurrentSince Aug 1, 2023 Accepting new patients
Falls Community Hospital and Clinic CurrentSince Aug 1, 2023 Accepting new patients

Locations

322 Coleman St
Marlin, TX 76661
Phone 2548033561153

Interoperability endpoints

  • Direct secure messaging: ethan.geiger.1@31376.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1992210710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 INDEPENDENCE TRL",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767089603",
            "telephone_number": "254-723-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 RICHLAND WEST CIR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127919",
            "telephone_number": "254-235-9355",
            "fax_number": "254-235-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIGER",
        "first_name": "ETHAN",
        "middle_name": "CALEB",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-04",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.