Paul N Renton Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G8368 Issued in TX

Practice address

808 Brook Ave
Wichita Falls, TX 76301-4209

Phone

(940) 766-0217

Fax

(940) 766-0730

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• Direct secure messaging: prenton14553@unitedregional.medalliesdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Regional Health Care System Inc

  dba United Regional Heath Care System

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1740358225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014209",
            "telephone_number": "940-766-0217",
            "fax_number": "940-766-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014209",
            "telephone_number": "940-766-0217",
            "fax_number": "940-766-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTON",
        "first_name": "PAUL",
        "middle_name": "N",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G8368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTHPLAN",
            "identifier": "123825",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA MILITARY HEALTHPLA",
            "identifier": "A003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "MDG8368",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81R704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory P Rendelman, CRNA
• Reneau Rehab Inc
• John Raymond Reneau, MS,PT,OCS,ATC,LAT
• Jennifer Renner
• Lorna Liz Rentas, LCDC
• Victoria Roxane Resendiz
• Maricon Revis, PSYD
• Leslie Michelle Reyes, B.S.
• Maggie Renee Veigl Reyes, OD
• Donna Lee Reynolds, MS ED; SPECIAL ED

• Diagnostic Radiology Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.