Provider Demographics
NPI:1588662522
Name:SINYARD, ROBERT D JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:SINYARD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1500 OGLETHORPE AVE
Mailing Address - Street 2:SUITE 600F
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2179
Mailing Address - Country:US
Mailing Address - Phone:706-475-4917
Mailing Address - Fax:706-475-4636
Practice Address - Street 1:1199 PRINCE AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2797
Practice Address - Country:US
Practice Address - Phone:706-475-1700
Practice Address - Fax:706-475-1787
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA025829207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000365109FMedicaid
GA000365109IMedicaid
GA000365109JMedicaid
GA000365109GMedicaid
GA00365109AMedicaid
GA5151023OtherAETNA
GA000365109EMedicaid
GA000365109KMedicaid
GA000365109LMedicaid
GA1265563OtherUNITED HEALTHCARE
GA0238482OtherBLUE SHEILD
GA060014203OtherRAILRAOD MEDICARE
GA000365109HMedicaid
GA5151023OtherAETNA
GA000365109LMedicaid