Provider Demographics
NPI:1891754784
Name:GEIGER, PAUL L JR (DO)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:L
Last Name:GEIGER
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:SKIP
Other - Middle Name:
Other - Last Name:GEIGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 2580
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65801-2580
Mailing Address - Country:US
Mailing Address - Phone:417-829-4620
Mailing Address - Fax:
Practice Address - Street 1:8840 BENBROOK BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76126-2173
Practice Address - Country:US
Practice Address - Phone:817-813-7101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO108506207Q00000X
TXQ9615207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
010062129OtherRAILROAD MEDICARE
100005790OtherRAILROAD MEDICARE
KS100288780AMedicaid
KS100317800BMedicaid
KS100288780CMedicaid
MO249797101Medicaid
P00119337OtherRAILROAD MCR WATHEN MEDICAL CENTER
100005790OtherRAILROAD MEDICARE
KS100317800BMedicaid
BG6253760OtherDEA
P00119337OtherRAILROAD MCR WATHEN MEDICAL CENTER
F298539AMedicare UPIN
MO329323268Medicare PIN