Active NPI
Pauljohn Hayner MD PC
- Internal Medicine Physician
- Astoria, OR
National Provider Identifier
1720194749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF3546 | Other | RAILROAD MEDICARE GROUP | |
| P00358641 | Other | OR | RAILROAD MEDICARE |
Other names 1
- Renaissance Health
National Provider Directory
National Provider DirectoryLocations
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.