Gregory Gene Eyre, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A83380 Issued in CA

Practice address

2158 Jean Ave
South Lake Tahoe, CA 96150-3412

Phone

(530) 543-5691

Fax

(531) 542-2872

NPI assigned

Jul 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tahoe Carson Valley Medical Group Inc

  • Clinical Social Worker
  • South Lake Tahoe, CA
  • NPI 1952883043
  NPD (past)

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1154328011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506207",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 JEAN AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503412",
            "telephone_number": "530-543-5691",
            "fax_number": "531-542-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYRE",
        "first_name": "GREGORY",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A83380",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "10616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Erkkila, PA-C
• Pollyanne Ertis, RDN
• Marc Estabrook
• Jeffrey Evans
• Kimberly Anne Evans, MD
• Kimberly Factor, ED.S
• Family Resource Center
• Madeline Renee Farmer
• Catherine Anne Fatino, RDHAP
• Jessica Faucett

• Surgery Physician in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.