Basic Information
| Provider Information | |||||||||
| NPI: | 1588662522 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINYARD | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1500 OGLETHORPE AVE | ||||||||
| Address2: | SUITE 600F | ||||||||
| City: | ATHENS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 306062179 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7064754917 | ||||||||
| FaxNumber: | 7064754636 | ||||||||
| Practice Location | |||||||||
| Address1: | 1199 PRINCE AVE | ||||||||
| Address2: | |||||||||
| City: | ATHENS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 306062797 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7064751700 | ||||||||
| FaxNumber: | 7064751787 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2005 | ||||||||
| LastUpdateDate: | 04/02/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | 025829 | GA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | 207RC0000X | 025829 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 000365109F | 05 | GA | MEDICAID | 000365109I | 05 | GA | MEDICAID | 000365109J | 05 | GA | MEDICAID | 000365109G | 05 | GA | MEDICAID | 00365109A | 05 | GA | MEDICAID | 5151023 | 01 | GA | AETNA | OTHER | 000365109E | 05 | GA | MEDICAID | 000365109K | 05 | GA | MEDICAID | 000365109L | 05 | GA | MEDICAID | 1265563 | 01 | GA | UNITED HEALTHCARE | OTHER | 0238482 | 01 | GA | BLUE SHEILD | OTHER | 060014203 | 01 | GA | RAILRAOD MEDICARE | OTHER | 000365109H | 05 | GA | MEDICAID |