Provider Demographics
NPI:1689933301
Name:PINYARD, JEREMY VINCENT (MD)
Entity Type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:VINCENT
Last Name:PINYARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 W OAKLAND AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-1676
Mailing Address - Country:US
Mailing Address - Phone:423-722-3100
Mailing Address - Fax:423-722-3104
Practice Address - Street 1:516 W OAKLAND AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-1676
Practice Address - Country:US
Practice Address - Phone:423-722-3100
Practice Address - Fax:423-722-3104
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09155600208M00000X
TN52905207R00000X
IA41900208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist