DAFTAR NAMA DOKTER

No Nama Dokter No.SIP No. STR TMT

ANAK
1 dr. Muhammad Ali, Sp. A (K) 445/34261/IX/2016 12.1.1.201.3.16.011674 ###
2 dr. Dina Lyfia, Sp.A 1916/1385/3.1/1903/05/2019 12.2.1.201.3.19.102812 Tuesday, May 14, 2019
3 dr. Nelly Rosdiana, Sp.A 445/338.24/VIII/2016 12.2.1.201.3.16.030351 Tuesday, August 30, 2016
4 dr. Johannes Harlan Saing, Sp.A (K) 445/22867/VI/2017 12.1.1.201.3.16.020262 Tuesday, June 20, 2017
5 dr. Yunnie Trisnawati, M.Ked (Ped), Sp.A (K) 2294/2242/3.1/1901/05/2019 12.2.1.201.4.19.078221 Tuesday, May 28, 2019
6 dr. Sri Yanti Harahap, M.Ked(Ped), Sp.A 1337/1316/3.1/1903/04/2018 12.2.1.201.3.17.035028 Wednesday, April 11, 2018
7 dr. Bugis Mardina, Sp. A (K) 445/134.72/IV/2017 12.2.1.201.3.17.075617 Thursday, April 6, 2017
8 dr. Fakhri Widyanto, Sp. A 0310/0214/3.1/1903/01/2019 12.1.1.201.3.17.045149 ###
9 dr. Eka Airlangga, Sp.A 5152/5174/3.1/1903/10/2019 12.1.1.201.3.16.085410 Thursday, October 24, 2019

PENYAKIT DALAM
1 dr. Bambang Darmawan, Sp. PD 445/28012/VII/2016 31.1.1.401.3.16.001016
2 dr. Immanuel Tarigan, M.Ked (PD), Sp.PD 4175/4341/3.1/1903/11/2018 12.1.1.401.3.18.044020 ###
3 dr. Radar Radius Tarigan, Sp.PD-KGH, FINASIM 1289/1083/3.1/1903/02/2020 12.1.1.401.4.19.092277 Friday, March 6, 2020
4 dr. Meivina Ramadhani Pane, Sp.PD 1010/SIP/DPMPTSP/MDN/3.2/III/2021 12.2.1.401.3.20.101590 ###
5 dr. Aini Pertiwi, Sp.PD 3094/3054/3,1/1903/07/2019 12.2.1.401.2.14.020674 Friday, July 19, 2019
6 Prof. Dr. Pengarapen Tarigan, Sp.PD,K-GEH 4743/4821/3,1/1903/12/2018 12.1.1.401.3.18.098350 ###
7 dr. Jubilate Pittor Sigalingging, Sp.PD 1359/1298/3.1/1903/04/2019 12.1.1.401.4.17.074912 Tuesday, April 9, 2019
8 dr. Ade Andriany Sp.PD 0071/6361/3.1/1903/12/2019 12.2.1.401.3.18.122940 Monday, January 6, 2020

BEDAH
1 dr. Syahbudin Harahap, Sp. B 4488/4608/3.1/1903/11/2018 31.1.1.101.1.13.146664 ###
2 dr. Bayu Irvia Satria, Sp. B 1194/1091/3.1/1903/03/2019 12.1.1.101.31.9.025661 ###
3 dr. H.Kamal Basri Siregar, Sp.B (K) Onk 445/210.30/VI/2017 51.1.1.101.3.17.081073 2017
4 dr. Emil Akmal, Sp. BP 445/242.48/VII/2017 35.1.1.104.3.16.018770 Friday, July 7, 2017
5 dr. Sabri, Sp. BS(K) 1085/0996/3.1/1903/03/2019 12.1.1.105.31.9.008972 Tuesday, March 19, 2019
6 dr. Eddy Jefferson, Sp. OT, K-Sport 4590/4592/3.1/1903/09/2019 31.1.1.103.41.9.085696 ###
7 drg. Ahyar Riza, Sp. BM 3741/3647/3.1/1903/08/2019 32.1.2.301.31.9/066850 Aug-19
8 drg. Welly E Seba, Sp.BM(K) 445/88.82/III/2017 32.1.2.301.3.16.030968 Monday, March 6, 2017
9 dr. Ginanda Putra Siregar, Sp. U (K) 2497/SIP/DPMPTSP/MDN/3.1/VIII/2020 31.1.1.106.3.20.097024 Wednesday, July 8, 2020
10 dr. Zulfian Hasibuan, Sp.U 5128/SIP/DPMPTSP/MDN/3.1/XI/2020 35.1.1.106.4.20.018659 ###

SARAF
1 dr. Kiki Muhammad Iqbal, Sp. S (K) 0207/0127/3.1/1903/01/2019 12.1.1.605.4.18.089079 ###
2 Dr. dr. Puji Pinta O Sinurat, Sp. S(K) 3981/3757/3.1/1903/08/2019 12.2.1.605.3.19.086108 Friday, August 30, 2019
3 dr. Muhammad Yusuf, Sp.S FINS 445/482.11/XII/2016 12.1.1.605.3.16.052655 ###
4 dr. Anyta Prisca Dormida, Sp.S 445/31626/VIII/2016 12.2.1.605.3.16.090714 Friday, August 12, 2016

Spesialis THT-KL
1 dr. Siti Nursiah, Sp. THT-KL(K) 445/31622/VIII/2016 12.2.1.606.3.16.028319 Friday, August 12, 2016
2 dr. Eddy Mahidin, Sp.THT_KL 445/29451/VII/2016 32.1.1.606.3.16.013434 Thursday, July 28, 2016
3 dr. Yan Utama, Sp. THT-KL 445/88.76/III/2017 12.1.1.606.3.16.026600 Monday, March 6, 2017
4 dr. Muhammad Pahala Hanafi Harahap, Sp. THT-KL(K) 3148/2473/3.1/1903/07/2019 12.1.1.606.3.14.087399 Tuesday, July 23, 2019
5 dr. Marwan Moeharman , Sp.THT-KL 0961/SIP/DPMPTSP/MDN/3.1/II/2021 12.1.1.606.4.21.028320 Friday, February 26, 2021
6 dr. Farrel, Sp. THT-KL

OBGYN
1 dr. Herizal B Razali, Sp.OG 2453/SIP/DPMPTSP/MDN/3.1/V/2021 12.1.1.301.4.20.003146 Friday, May 28, 2021
2 dr. Miranda Diza, Sp. OG 1934/1924/3,1/1903/05/2018 12.2.1.301.4.18.081752 Monday, June 4, 2018
3 dr. Cut Adeya Adella, Sp. OG(K)Onk 3437/SIP/DPMPTSP/MDN/3.1/VIII/2020 12.2.1.301.3.20.068013 Monday, August 24, 2020
4 dr. Siti Syahrini Sylvia,Sp.OG 3947/SIP/DPMPTSP/MDN/3.1/IX/2020 12.2.1.301.3.20.111669 Friday, September 18, 2020
5 dr. Djamin, Sp.OG 0358/0270/3.1/1903/01/2018 12.1.1.301.3.16.011761
6 dr. Adek Amansyah, M. Biomoed, Sp.OG (K) - FER 009/0113/3.1/1903/10/2017 12.1.1.301.3.16.020976 Friday, October 27, 2017
7 dr. Indra Gunasti Munthe, Sp. OG, K-FER 445/29813/VIII/2017 12.1.1.301.3.16.045130 ###

ANESTESI
1 dr. Soeyat Harto, Sp. An 445/116.17/III/2017 35.1.1.501.3.16.039881 Friday, March 24, 2017
2 dr. Hasanul Arifin, Sp. An, KAP, KIC 445/446.31/XI/2016 35.1.1.501.3.16.039770 ###
3 dr. Muhammad Jalaluddin Assuyuthi Chalil, Sp. An 1311/1257/3.1/1903/04/2018 12.1.1.501.3.18.069409
4 dr. Cut Meliza Zainumi, M.Ked (An), Sp.An 445/27456/VII/2017 12.2.1.501.3.17.064076 Friday, July 21, 2017
5 dr. Rommy Fransiscus Nadeak, Sp.An, KIC 445/37463/IX/2016 12.1.1.501.2.16.115762 ###

JANTUNG
1 dr. Parlindungan Manik, Sp. JP (K) 445/26250/VII/2016 31.1.1.402.2.16.121590 Friday, July 1, 2016
2 dr. Zainal Safri, Sp. PD, Sp. JP (K) 445/0664/I/2017 35.1.1.402.3.16.053411 Thursday, January 5, 2017
3 dr. Indah Ayu Pratiwi, Sp.JP 445/416.26/X/2016 12.2.1.402.2.16.103703 Tuesday, October 25, 2016
4 dr. Mariyetty Kemuning, Sp. JP 0658/0590/3.1/1903/02/2019 12.2.1.403.3.19.134763 Monday, February 25, 2019
 PARU
1 dr. Muntasir AB, Sp. P (K), FISR 5615/SIP/DPMPTSP/MDN/3.1/X/2021 12.1.1.604.4.21.039629 Friday, October 8, 2021
2 dr. Waluyo, M.Kes, Sp.P 445/12440/III/2017 12.1.1.604.3.17.068442 Thursday, March 30, 2017
3 Prof. Dr. Luhur S. Soeroso, Sp.P (K) 445/330.04/IX/2017 12.1.1.604.3.17.039759 ###
4 dr. Desfrina Kasuma, Sp.P(K) 3125/3157/3.1/1903/09/2018 12.2.1.604.3.16.040920 ###

KULIT DAN KELAMIN

1 dr. Erlinta Sembiring, M.Ked (DV), Sp. D.V 0578/6516/3.1/1903/01/2020 12.2.1.602.4.19.092276 Thursday, February 6, 2020
2 dr. Liza Arianita, Sp. D.V 1507/SIP/DPMPTSP/MDN/3.1/IV/2021 12.2.1.602.3.20.027279 Monday, April 5, 2021

RADIOLOGI
1 dr. Armen H Rangkuti, Sp.Rad (K) 445/426.49/XI/2016 32.1.1.503.3.16.011708 Tuesday, November 1, 2016
2 dr. Juliamor Sinulingga, Sp.Rad 4088/SIP?DPMPTSP/MDN/3.1/X/2020 35.1.1.503.4.20.017239 Thursday, October 1, 2020

Spesialis Mata
1 dr. Elly Tianggur Elfrieda Silalahi, Sp.M 445/186.15/V/2017 12.2.1.603.17.030341 Feb-17

PATOLOGI ANATOMI
1 dr. Stephan Udjung, Sp.PA 445/308.39/VIII/2016 12.1.1.704.3.16.026580 Monday, August 8, 2016

PATOLOGI KLINIK
1 dr. Nelly Elfrida Samosir, Sp.PK(K) 445/36051/IX/2016 12.2.1.502.3.16.051042 Wednesday, July 31, 2019

REHABILITASI MEDIK
1 dr. Dahniel Rizki Siregar, Sp.KFR 445/140.04/IV/2017 31.1.1608.3.16.117346 Monday, April 10, 2017

DOKTER GIGI
1 drg. Meriah Ukur Sembiring 0234/0372/3.1/1903/11/2017 12.1.2.100.3.17.054166 Friday, November 17, 2017
2 drg. Noni Harahap 445/24.14/I/2017 12.2.2.100.2.17.126282
3 drg. Fahrur Rozi Lubis 0643/0377/3.1/1903/02/2019 12.1.2.100.2.19.147328 ###

SPESIALIS KESEHATAN JIWA

1 dr. Donald Firdaus Sitompul, Sp.KJ 445/348.14/IX/2016 12.1.1.601.3.16.023359
 Masa Berlaku SIP NIK No. HP

Tuesday, May 24, 2022 1271212405690005 081262910055

Tuesday, April 2, 2024 1271210420473004 08126023611
Monday, April 11, 2022
Saturday, January 29, 2022
Wednesday, April 3, 2024 085275508005
12 November 2022 1271025211740004 081269907678
Monday, October 3, 2022 1271074310700001 08126566334
Monday, June 5, 2023 1271200506790002 085261426737
Thursday, October 14, 2021 1271041410770001 08116000409

Monday, September 20, 2021 1271052009620001 08129990781

Saturday, March 18, 2023 1271021803810002 081260777600
Tuesday, October 15, 2024 1271171510700003 085361030888
Thursday, May 15, 2025 1271185505860001 081260297727
Thursday, December 12, 2024 1271015212740001 081375545300
Sunday, August 6, 2023 1271210608350001 082169151875
Wednesday, May 10, 2023 1271191005810003 08116157222
### 1271036009870002 08116552620

29-Mar-24 1271172903480001 0811652008

Tuesday, September 19, 2023 1271061909810005 0811616601
Tuesday, December 13, 2022 1271111312600004 0818560057
Thursday, July 7, 2022 1271170707710001 081360861097
Wednesday, June 5, 2024 1271090506730003 081361724415
6 November 2024 1271050611750001 081399421234
Tuesday, December 17, 2024 1271111712790004 081370746424
Monday, May 23, 2022 1271032305670003 081269377731
20-Dec-25 1271022012850003 08126322200
Tuesday, September 16, 2025 1271091609690003 081252424444

Thursday, October 5, 2023 1271190510770001 0811611035

Wednesday, May 15, 2024 1271035505640002 081262959697
Monday, October 31, 2022 1271023110680003 08116810965
Thursday, October 5, 2023 1271035004840007 085270886234

Saturday, October 30, 2021 1271027010650005 081265454320

Thursday, September 9, 2021 1271030909530001 081260037115
Thursday, May 12, 2022 1271211205660001 081362122570
Sunday, June 16, 2024 1271151606740002 08126536585
Sunday, March 8, 2026 1271100803760001 085373738333

Saturday, April 11, 2026 1271021104650002 081376887901

Monday, December 4, 2023 1271054412760002 0811641875
Wednesday, October 8, 2025 1271214810760004 0811616208
Friday, April 10, 2026 1271215004750006 081260414144
Saturday, June 12, 2021 1271101206710004 0811642728
Sunday, April 17, 2022 1271191704670003 0811616066
Saturday, March 12, 2022 1271211203740001 08126030901

Friday, May 6, 2022 1271030605550001 0811606119

Saturday, April 23, 2022 1271172304510001 0811614633
Thursday, June 22, 2023 1271212206770002 08116000196
Thursday, April 20, 2023 1271176004830001 08126037514
Tuesday, February 1, 2022 1271180102720001 08116028001

7 November 2021 1271190711590002 08126532037

 Wednesday, May 4, 2022 1271170405680001 08126547651
Wednesday, January 26, 2022 1271176601850002 0811641477
Sunday, March 10, 2024 1271025003880001 082161355563
 Monday, October 19, 2026 1271051910600002 0811608890
Monday, October 24, 2022 1271032410650004 081361336180
Friday, July 15, 2022
Sunday, December 5, 2021 1271114512740005 081231140491

Tuesday, March 12, 2024 1271175203730006 085270108083

Friday, January 9, 2026 1271024901770006 08196010161

Thursday, September 30, 2021 1271143009620004 081370017805

Wednesday, July 2, 2025 1271170207650001 081332114922

Monday, October 24, 2022 1271196410650001 082167754142

Tuesday, May 24, 2022 1271202405630001 081375248722

Tuesday, September 6, 2022 08126429386

Sunday, December 26, 2021 1207062612860001 081908295665

Saturday, April 16, 2022 081264506786

### 08116059161
Thursday, April 4, 2024 081376701205

Friday, September 10, 2021 1271171009510001 0811617331

 DAFTAR NAMA DOKTER
No Nama Dokter No.SIP

1 dr. Adinda Ariestha 3008/SIP/DPMPTSP/MDN/3.1/VI/2021

2 dr. Adiraja 5491/5514/3.1/1903/10/2019
3 dr. Afni Apla Rizka Hamid 0473/0349/3.1/1903/01/2019
4 dr. Agus Fathammubin Nasution 6212/SIP/DPMPTSP/MDN/3.1/XI/2021
5 dr. Amanda Fairuz
6 dr. Bob Ithon V.W Dabukke 2266/4982/3.1/1903/05/2019
7 dr. Burhan 0705/0508/3.1/1903/2020
8 dr. Dewi Triandriani 1291/SIP/DPMPTSP/MDN/3.1/III/2021
9 dr. Dilla Fillia Mathilda 1458/SIP/DPMPTSP/MDN/3.1/III/2021
10 dr. Fathia Maulida Hasti 1275/SIP/DPMPTSP/MDN/3.1/III/2021
11 dr. Febrine Maria G. Sinaga 0054/0878/3.1/1903/01/2018
12 dr. Hany Melati Harahap 2737/SIP/DPMPTSP/MDN/3.1/VI/2021
13 dr. Harry Haryanto 445/15824/IV/2016
14 dr. Ikhsan Hariyadi 4112/SIP/DPMPTSP/MDN/3.1/VIII/2021
15 dr. Jesslyn Tan 1383/1149/3.1/1903/02/2020
16 dr. Juliana Tandewi 2774/SIP/DPMPTSP/MDN/3.1/VI/2021
17 dr. Kadir Gani 2588/2539/3.1/1903/06/2019
18 dr. Krisna Alfianur 3999/SIP/DPMPTSP/MDN/3.1/VIII/2021
19 dr. Laulita Larasaty 445/1223/I/2017
20 dr. Lidia Panggabean 2667/SIP/DPMPTSP/MDN/3.1/VI/2021
21 dr. Lina 1255/SIP/DPMPTSP/MDN/3.1/III/2021
22 dr. M Zuchri Darmawan 2492/SIP/DPMPTSP/MDN/3.1/VII/2020
23 dr. M. Saleh Afif 1897/1165/3.1/1903/04/2020
24 dr. Melvi Mudti Nasution 1406/1229/3.1/1903/03/2020
25 dr. Mohd Ilham Fat-Thur Rahman 4015/SIP/DPMPTSP/MDN/3.1/VIII/2021
26 dr. Muhammad Anwar 4740/4820/3.1/1903/12/2018
27 dr. Naeni Juliani 4414/SIP/DPMPTSP/MDN/3.1/IX/2021
28 dr. Nancy Intanna Siahaan 3385/3339/3.1/1903/07/2019
29 dr. Nelvina Ginting 3376/3338/3.1/1903/07/2019
30 dr. Nia Angelia Sutanto 1981/1937/3.1/1903/05/2019
31 dr. Piter Wisely 1799/1774/3.1/1903/05/2018
32 dr. Priscillia Claudia 1429/1233/3.1/1903/03/2020
33 dr. Putra Y. N Siregar 4191/4263/3.1/1903/11/2018
34 dr. Rahayu 3406/SIP/DPMPTSP/MDN/3.1/VII/2021
35 dr. Rahmayanti Yulia Ginting 5617/SIP/DPMPTSP/MDN/3.1/X/2021
36 dr. Rosa Maria Ernita Butar-Butar 3295/SIP/DPMPTSP/MDN/3.1/VII/2021
37 dr. Ryan Wijaya Kusuma 2084/2010/3.1/1903/05/2019
38 dr. Stevanie 4161/4136/3.1/1903/09/2019
39 dr. Tara Feronia 445/88.55/III/2017
40 dr. Wirta Hernika 2474/2460/3.1/1903/07/2018
41 dr. Yulia Br. Ginting 4054/SIP/DPMPTSP/MDN/3.1/VIII/2021
TAR NAMA DOKTER
No. STR TMT Masa Berlaku SIP

12.2.1.100.1.21.225990 Monday, June 28, 2021 23-Mar-25

12.1.1.100.2.19.144523 12 november 2019 Thursday, October 17, 2024
12.2.1.100.1.18.176331 Friday, February 15, 2019 Saturday, April 8, 2023
15.1.1.100.1.21.228116 3 november 2021 21-Aug-25

12.1.1.100.2.18.140780 Friday, May 24, 2019 19-Sep-23

12.1.1.100.1.19.200340 Monday, February 17, 2020 24-Jan-23
12.2.1.100.1.20.211505 Thursday, March 18, 2021 17-Apr-24
12.2.1.100.2.18.137613 Monday, March 29, 2021 21-Feb-23
12.2.1.100.1.19.205064 Thursday, March 18, 2021 1-Sep-23
12.2.1.100.1.16.157160 Friday, January 5, 2018 Saturday, February 5, 2022
12.2.1.100.1.20.212974 Friday, June 11, 2021 30-Oct-24
12.1.1.100.1.16.157461 Thursday, April 21, 2016 4 November 2021
11.1.1.100.1.20.212815 Friday, August 27, 2021 24-Apr-24
12.2.1.100.1.19.200548 Tuesday, March 10, 2020 18-Mar-23
12.2.1.100.1.20.219303 Wednesday, June 16, 2021 7-Jul-04
12.1.1.100.1.16.157465 Tuesday, June 25, 2019 30 November 2021
34.1.1.100.1.19.194464 Friday, August 27, 2021 9 november 2022
12.2.1.100.3.16.020849 Friday, January 13, 2017 Sunday, December 19, 2021
12.2.1.100.3.21.117119 Thursday, June 10, 2021 26-Apr-26
12.2.1.100.1.19.204663 Thursday, March 18, 2021 20-Jan-23
12.1.1.100.2.20.149508 Tuesday, July 7, 2020 ###
12.1.1.100.1.18.182162 Monday, April 13, 2020 10-Nov-23
12.2.1.100.1.19.205006 Tuesday, March 10, 2020 6-Nov-23
13.1.100.1.20.221881 Friday, August 27, 2021 30-May-24
12.1.1.100.3.18.091904 ### Tuesday, March 14, 2023
12.2.1.100.2.18.139093 ### 21-Jul-23
12.2.1.100.1.18.190599 Friday, August 2, 2019 9-Mar-24
12.2.1.100.1.18.190494 Friday, August 2, 2019 12-Mar-24
12.2.1.100.1.18.182067 Friday, May 17, 2019 Saturday, October 21, 2023
12.1.1.100.1.17.173452 Tuesday, May 22, 2018 Tuesday, January 10, 2023
32.2.1.100.1.19.199028 ### 1-Sep-23
12.1.1.100.1.18.182164 14 november 2018 23 november 2023
12.2.1.100.1.20.215082 Wednesday, July 14, 2021 21-Apr-24
12.2.1.100.1.18.190770 Friday, October 8, 2021 27-Jul-23
12.2.1.100.1.20.219308 Monday, July 12, 2021 27-Mar-24
31.1.1.100.1.18.189855 Monday, May 20, 2019 ###
34.2.1.100.1.18.188672 ### 17 november 2023
12.2.1.100.1.16.165510 Monday, March 6, 2017 ###
`12.2.1.100.2.18.134797 Monday, July 30, 2018 19-Sep-23
12.2.1.100.1.20.215025 Friday, August 27, 2021 6-Jul-24
NIK No. HP

1271076303940002
1271051710890001
1274054804910004
1271112108950001
1271196110920002
1272011909870001
1271162401940001
1272025704950001
1271036102890002
1207224109940001
1271024502890001
1207267010950012
1271100411890001
1275012404940003
1207265803950012
1471114707950002
1271193011900002
3404030911920002
1271075912780004
1271076604840003
1271036001950002
1271112512890003
1271011011920001
1208174611940003
1409023005950001
1271141403820010
1271106107860005
1212074903930004
1271075203930002
1271176110920002
1274011001920003
1271024109940001
1272032311910002
1208116104940001
1207236707920002
1223016703950004
1271101412900003
1271015711940002
1271206109910003
1271035909870001
1205014607930003