Jacklyn Diane Eyre, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

6431 Fannin St
MSB 5.146
Houston, TX 77030-1501

Phone

(713) 500-7402

NPI assigned

Jan 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cypress Physicians AssociationGroup PAC ID 0446272850, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
• Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
• St Luke's the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Cypress Physicians Association

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1295919223
  Medicare reassignment Care Compare group
• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821
  Medicare reassignment NPD
• Ut Physicians

  dba UT Health Services

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD

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

• Methodist Health Centers

  dba Houston Methodist Willowbrook Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1871619254
  Care Compare affiliation
• St. Luke's Community Health Services

  dba St. Luke's The Woodlands Hospital

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1942208616
  Care Compare affiliation
• Tops Specialty Hospital, LTD.

  dba TOPS Surgical Specialty Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1144203662
  Care Compare affiliation

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1336487198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "MSB 5.146",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "MSB 5.146",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYRE",
        "first_name": "JACKLYN",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyetrends Memorial PLLC
• Eyewear Concepts Inc. (Spectrum Eye Care)
• Eyewear Express
• Eyeworks Inc (Eyeworks at Midtown)
• Ethel Mmarrah Eyong-Ako, MBA
• Ez Backyard BBQ
• Ez Care Emergency Medical Services Inc
• Ez Care Emergency Medical SRVC Inc (Ez Medical Transportation)
• Ez Care Transport
• Ez Covid Testing TX LLC

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.