Paul John Hayner MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PAUL JOHN HAYNER MD PC

Doing business as

Renaissance Health

Practice address

1406 Marine Drive
Astoria, OR 97103-3808

Phone

(503) 325-0505

Fax

(503) 325-1212

NPI assigned

Dec 22, 2014

Last updated

Dec 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul John Hayner, MD

Title

President

Phone

(503) 325-0505

Specialties & licenses 1

Addresses

Other names 1

• Renaissance Health Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9722/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1841688090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 MARINE DRIVE",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033808",
            "telephone_number": "503-325-0505",
            "fax_number": "503-325-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MARINE DRIVE",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033808",
            "telephone_number": "503-325-0505",
            "fax_number": "503-325-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL JOHN HAYNER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "HAYNER",
        "authorized_official_first_name": "PAUL JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-325-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sangkun Park, MD
• Stephanie Dawn Parmley, MSN FNP
• John Tom Parsons
• Nirav R Patel, PHARM.D
• Katie Olivia May Patterson, PTA
• Pauljohn Hayner MD PC (Renaissance Health)
• Benjamin Paz, LPC
• Kelly Elizabeth Peekstok, M.D., MPH
• Amanda Pendergast, LMT
• Vishesh Anand Persaud, M.D

• Primary Care Clinic/Center in Astoria, OR
• Providers in Astoria, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.