Organization Active NPI

Pauljohn Hayner MD PC

  • Internal Medicine Physician
  • Astoria, OR
National Provider Identifier
1720194749
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PAULJOHN HAYNER MD PC
Practice address
1230 Marine Dr
201
Astoria, OR 97103-4059
Phone
(503) 338-4325
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Pauljohn Hayner, MD
Title
President
Phone
(503) 338-4325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1230 Marine Dr
201
Astoria, OR 97103-4059

Mailing address

PO Box 23200
Portland, OR 97281-3200
Phone (503) 968-2779

Other identifiers 2

IdentifierTypeStateIssuer
DF3546OtherRAILROAD MEDICARE GROUP
P00358641OtherORRAILROAD MEDICARE

Other names 1

  • Renaissance Health Doing business as

National Provider Directory

National Provider Directory

Locations

1230 Marine Dr
Ste 201
Astoria, OR 97103
Phone (503) 325-2067

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1720194749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972813200",
            "telephone_number": "503-968-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MARINE DR",
            "address_2": "201",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034059",
            "telephone_number": "503-338-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULJOHN HAYNER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "HAYNER",
        "authorized_official_first_name": "PAULJOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-338-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DF3546",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00358641",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.