Data Dokter

NO NAMA
1 dr. A. Albaet Nasrulloh
2 dr. A. Bawin Budiharto
3 dr. A. Multazam
4 dr. Abdul Malik
5 dr. Abdul Rouf
6 dr. Achmad Zain Wahjudi
7 dr. Adelia Handoko
8 dr. Adhika Prastya Wikananda
9 dr. Adhiningsih Yulianti
10 dr. Adi Darma Effendi
11 dr. Adi Kurniawan

NO NAMA
12 dr. Adinda Putri Yusri Amrina
13 dr. Aditha Satria Maulana
14 dr. Adisutjipto Tedjasukmana
15 dr. Adi Subagyo
16 dr. Aditya Hudiansyah
17 dr. Adi Widjaja, SE
18 dr. Adi Wirawan
19 dr. Afi Adi Kirana
21 dr. Agung Pandu Wiantoro
22 dr. Agus Yudi Prastaji
23 dr. Agustina Yuniarti Rahayu
24 dr. Ahmad Barrun Nidhom

NO NAMA
25 dr. Ahmad Jamil
26 dr. Ainur Rokhmah
dr. Aisyah Rahmawati
dr. Aisyiyah Alviana Agustin
dr. Aldhi Wimandra
27 dr. Alfa Rianul Setiawan
28 dr. Alfi Yudisianto
29 dr. Ali Akbar Mushan
30 dr. Al Munawir
dr. Alvin Isnaini
31 dr. Amanda Cahya Yanuartika

NO NAMA
32 dr. Ana Silfia Margareta
dr. Anas Bakhtiar Diyansah
33 dr. Anaz Handyan
34 dr. Ancah Caesarina Novi Marchianti
36 dr. Andri Novrianto
37 dr. Andritta Febriana
38 dr. Andy Maulana Ardiansyah
39 dr. Angga Ratnafuri
40 dr. Anggind Grandika Andromeda
41 dr. Anindita Novita Damayanti
42 dr. Anindita Pramadyasiwi

NO NAMA
43 dr. Anisa Khilda Karima
44 dr. Anita Fadhilah
45 dr. Anna Widyassari
46 dr. Any Krishnamurti
47 dr. Apsari
48 dr. Ardi Bayu Sutrisno
49 dr. Ariani Windaastuti
50 dr. Arif Prianggara
51 dr. Arinda Lironika Suryana
52 dr. Aris Prasetyo
53 dr. Aris Tridjoko
54 dr. Arisanty Nur Setia Restuti

NO NAMA
dr. Audrey Soegiharto Santoso
55 dr. Arti Tyagita Kusumawardhani
56 dr. Ayu Munawaroh Aziz
57 dr. Ayunda Afdal
59 dr. Bagus Dhananing Satwikaputra
60 dr. Bambang Purwo Anggono
61 dr. Bambang Suwartono, MM
62 dr. Bambang Witarno
63 dr. Bayu Candra Cahyono
64 dr. Bela Mayvani Rachman
65 dr. Beni Lestari Mahardika
66 dr. Berliana Kurniawati Nur Huda

NO NAMA
67 dr. Bima Akhmad Angsar
68 dr. Bintoro Adi Saputro
69 dr. Bonita Tanjung Hapsari
70 dr. Bunyamin Tanoko
71 dr. Candra Bumi, M.Si
73 dr. Chaidar Hilman Faris
74 dr. Chandra Permana
75 dr. Chindhia Rima Rochmatika
76 dr. Cici Wulantari Sitanggang
77 dr. Condro Suryo Bawono
78 dr. Crystalia
NO NAMA
79 dr. Dafista Diyantika
80 dr. Danar Agung Nugroho
81 dr. Dandy Candra Satyawan
82 dr. Dani Riandi
83 dr. Darmadi
dr. Dedik Apriyono
84 dr. Delin Mayasari
85 dr. Desy Damayantie
86 dr. Desie Dwi Wisudanti
dr. Devani Bagus Aprinda
87 dr. Dewi Indah Novita

NO NAMA
88 dr. Dewi Tetti Banuarea
89 dr. Dhea Anyssa Rachmawati
90 dr. Dian Alfiyatul Uliyah
91 dr. Dian Damayanti
92 dr. Dian Fitriyana
93 dr. Dian Hadi Purnamasari
94 dr. Dian Retno Safitri
95 dr. Dian Suminar Pertiwi
96 dr. Diana Chusna Mufida
97 dr. Didit Dwi Rismawan
98 dr. Dievi Widowati

NO NAMA
100 dr. Dina Mustikasari A
101 dr. Dina Nurul Agustina
102 dr. Dina Rusdiana
103 dr. Diniusi Saptiari
104 dr. Dion Krismashogi Darmawan
105 dr. Dissy Arnanty Nurtami Putri
106 dr. Ditta Dwiyani
107 dr. Diyan Pusposari
108 dr. Djoko Poernomo
109 dr. Djoko Setijo Widodo
110 dr. Doddy Radhi Sakti
111 dr. Dodi Guntoro

NO NAMA
112 dr. Dony Harjatno
113 dr. Dudung Ari Rusli
114 dr. Dwianto Budi Prabowo
115 dr. Dwi Hepti Wulandari
116 dr. Dwita Aryadina Rachmawati
117 dr. Dyanita Sulistyawati
118 dr. Edwina Purwastuti
119 dr. Edy Junaidi
120 dr. Eka Mustika Sari
121 dr. Eka Prasetya Wati
122 dr. Eka Surya Septiawan
dr. Elen Velia Christine

NO NAMA
123 dr. Ellen Siska Susanti
124 dr. Elly Nurus Sakinah, M.Kes
125 dr. Emile Nuralim
126 dr. Endang Sulistyowati E.R
127 dr. Endang Tiyastoeti Soehadi
128 dr. Eny Rahmi Yulianti
129 dr. Enny Suswati
130 dr. Erlin Polehwidhi
131 dr. Erlina Hadi
132 dr. Erma Sulistyaningsih
133 dr. Ernst Randy Nuralim
134 dr. Erwin Maulana Farmanda

NO NAMA
135 dr. Eva Rosita Dewi
136 dr. Faida, MMR
137 dr. Faishal Harits Wahdin
138 dr. Faradila Nur Aini
dr. Farah Nailufar
dr. Farida Dwi Irnawati
140 dr. Fatkhur Ruli Malik Qilsi
141 dr. Fauziah Putri Paramita
142 dr. Febriyanti Eka Wardhani Citro
143 dr. Felik Rudianto
144 dr. Fikhy Rizky Hapsari
145 dr. Firman Fadly Kusuma Putra
146 dr. Fitriana Putri

NO NAMA
147 dr. Gini Wuryandari
148 dr. Goenawan Slamet
149 dr. Grace Giovani
150 dr. Gresisce Manegeng
151 dr. Hairrudin,M.Kes
152 dr. Halimah Arvi Susilaningsih
153 dr. Hana Nadya
154 dr. Handoko Kosasih
155 dr. Hari Pitono
158 dr. Hendry Cleodora Romeo
159 dr. Hendro Soelistijono, MM.,M.ARS
160 dr. Heppie Nuansa

NO NAMA
161 dr. Heri Purwanto
162 dr. Heru Iskandar
163 dr. Heru Sutandio
164 dr. Hilmy Dzakiyyah Wildan
165 dr. I Gusti Nyoman Arya Sidemen
167 dr. I Nyoman Dharma Putra Wijaya
168 dr. I Wayan Suardita
169 dr. I Wayan Sulianta
170 dr. Ida Srisurani Wiji Astuti
171 dr. Ida Tri Aprilia
172 dr. Ignatius Yuli Sugiarto
173 dr. Ignasius Bayu Angga Dewa

NO NAMA
175 dr. Ika Rahmawati Sutejo
176 dr. Ika Sedar Wasis Sasono
177 dr. Ike Sukma Dewi Kunwardhani
178 dr. Ina Soraya
179 dr. Indah Kusuma Wardani
dr. Indri Ari Ningtyas
180 dr. Intan Maharani
181 dr. Intan Noha Brilyanti
182 dr. Ipah Septirianti
183 dr. Irawan Fajar Kusuma
184 dr. Irfan Arif Ikhwani
185 dr. Irma Zakina

NO NAMA
186 dr. Irsalina Rahmayanti
187 dr. Iswarno
188 dr. Ivan Hendra Hermawan
189 dr. Jarwoto Roestanajie
190 dr. Jauhar Firdaus
191 dr. Jeffri Chrisdiawan
192 dr. Johanes Soesilo Handojo
193 dr. Jose Hady Putera
194 dr. Juwita Cahyaningrum
195 dr. Khoirul Anam
196 dr. Koeshar Yudyarto
197 dr. Kukuh Hadi Tri Wibowo

NO NAMA
192 dr. Kukuh Wibisono
dr. Kun Chyntia Mega Ningrum
199 dr. Kurnia Anyndita Wira Praja
200 dr. Laila Rahmadhani Saragih
201 dr. Laurencia Febrina Ruth Suwarso
202 dr. Lifesia Natali Lidjaja
203 dr. Liliek Farida
204 dr. Lilik Juliawati Saputra
205 dr. Lilik Lailiyah, M.Kes
206 dr. Lilik Laksmiati Susilo Parti
207 dr. Lintang Desi Ariyanti Putri
208 dr. Lis Widodo Peni

NO NAMA
209 dr. Lukman Hakim
210 dr. Lutfiyani
211 dr. M. Agus Burhan Syah
212 dr. M. Cholid Baktir
213 dr. M. Husnan
214 dr. M. Iqbal Fathoni
215 dr. M. Nazim Fauzi
216 dr. M. Rizal Eris Abd. Ghaniy
217 dr. Made Adnyana
218 dr. Made Nitia Debiasista
219 dr. Maharini
220 dr. Mahesa Permana Kardis
221 dr. Maria Oktaviana

NO NAMA
222 dr. Maria Ulfah
223 dr. Martha Nurani Putri
224 dr. Mega Endahlestari
225 dr. Megga Setyana
226 dr. Mega Nur Purbo Sejati
227 dr. Megawati
228 dr. Meilina Liesstiyawati
229 dr. Mekania Tamarizki
dr. Melissa Arinie Raharjo
230 dr. Meta Andharasta
231 dr. Mevie Fitrah Dewi
232 dr. Mochamad Bagus Rifnaputra

NO NAMA
233 dr. Moch Hisyam Rifqi
dr. Mochamad Zainur Prasetyawan
234 dr. Mohammad Dilli Yudistira
235 dr. Mudjijo
236 dr. Muhammad Abdul Waris
237 dr. Muhammad Afiful Jauhani
238 dr. Muhammad Ihwan Narwanto
239 dr. Muhammad Iqbal Fanani
240 dr. Nabilla
241 dr. Naila Esvandari
242 dr. Narendra Wahyu Junior
243 dr. Nataniel Hadi Putra

NO NAMA
244 dr. Ni Putu Dewi Puspitawati
245 dr. Nila Nuril Fatima
246 dr. Niluh Ketut Susi Andarini
dr, Nina Amelia Gunawan
247 dr. Nina Hapsari
248 dr. Nova Afendi
249 dr. Noverdiana Ekasari Hermanda
250 dr. Novita Nuraini
251 dr. Nunung Indriastutik
252 dr. Nur Ahaddiyah
253 dr. Nur Ahmad Santoso
254 dr. Nur Fadilah

NO NAMA
255 dr. Nur Falakhis Shoima
dr. Nur Hidayati Azhar
256 dr. Nurlaili Triakusuma
257 dr. Nurina Restu Pratiwi
258 dr. Nur Rakhman Ahadi
259 dr. Nurbaiti, M.Kes
260 dr. Nuri Usmawati
261 dr. Nurul Hidayati
262 dr. Nurullah Hidajahningtyas, MM
263 dr. Oemi Djauhari Soenarto, MM
264 dr. Oey Radianto Chandra
265 dr. Oktavia Wahyu Krisna Murti

NO NAMA
266 dr. Okti Rahmawati
267 dr. Olivia Listiowati Prawoto
268 dr. Olong Fadjri Maulana, M.ARS
269 dr. Ovalia
270 dr. Pipiet Wulandari
271 dr. Pudjo Wahjudi
272 dr. Puguh Prasetyoadi
273 dr. Purwoko
274 dr. Putri Lina Santoso
275 dr. Putu Tanor Yansa
dr. Radityo Priambodo
276 dr. Ragil Ismi Hartanti
277 dr. Ragil Walidatil Rizki

NO NAMA
278 dr. Rakhman Tyas Perdana
279 dr. Ratih Justitia Kartika
280 dr. Ratna Anggraini
281 dr. Ratna Inawati Suseno
dr. Ratna Juwita Luhuringtyas
282 dr. Ratna Pancasari
283 dr. Ratna Yulianti
284 dr. Ratnawati
285 dr. Reni Septa Anggraeni
286 dr. Renny Wulandari
287 dr. Retno Handayani
288 dr. Retno Sundari Puspitawati

NO NAMA
289 dr. Reyhan Radythia Ratawinata
290 dr. Reza Kurniawan
291 dr. Rhaumanen Vita Tantina
292 dr. Ricky Septafianty
293 dr. Rika Purwaningsih
294 dr. Rike Eka Juniawati
295 dr. Rinda Nurul Karimah
296 dr. Ringenggo Haruming Putri
297 dr. Rinto Suharyo
298 dr. Ririn Esterina
299 dr. Risdya Martha Wardani

NO NAMA
300 dr. Riska Nur Emalia Rusdiani
301 dr. Rita Wahyuningsih
302 dr. Rizha Martha Megasari
303 dr. Rizki Diah Kartikasari
304 dr. Rizki Hardwiansyah
305 dr. Rizky Amalia Putri
306 dr. Rizky Imansari
307 dr. Robby Tardianto
308 dr. Rohmadoni
309 dr. Rohmat Pujo Santoso
310 dr. Rosita Agustin Suminar
311 dr. Rosita Dewi

NO NAMA
312 dr. Rosna Hermila
313 dr. Roszania Hidayat
314 dr. Rukhin Ali
315 dr. Rully Rusdiana
316 dr. Rumi Enggarwati
317 dr. Rusmijati
318 dr. Sabrina Leonita
319 dr. Santi Indriasari
320 dr. Santoso Gunawan
321 dr. Selly Puspita Sari
322 dr. Sendy Dwi Pertiwi
323 dr. Senoadji Pratama

NO NAMA
324 dr. Sheila Soraya Choliq
325 dr. Sheilla Rachmania
326 dr. Sigit Kusuma Jati
327 dr. Soegeng Wiyono
328 dr. Soemarmo
329 dr. Sofan Safrony
330 dr. Sri Isna Amelia Ahmad
331 dr. Sugiyanta
332 dr. Sujanto
333 dr. Sukron Nanda Firmansyah
334 dr. Sulih Yekti Ngutamani
335 dr. Sulistin Nurwati
336 dr. Sunaryo

NO NAMA
337 dr. Supriono
338 dr. Suratini, MMRS
339 dr. Susilo Wardhani Soehadi, MM
340 dr. Sutedja Wahjudi
341 dr. Suwinasis
342 dr. Syaiful Anam
343 dr. Sylvia Viana Varanita
344 dr. Tasi'ah Nashirah Nur
345 dr Taufiq Gemawan
346 dr. Teddy Tejomukti
347 dr. Tegoeh Wibowo
348 dr. Titis Sulistyowati
349 dr. Tontowi Jauhari
350 dr. Tri Eko Wahyuni

NO NAMA
351 dr. Tri Ritasari
352 dr. Triningtyas Ninik Widyawati
353 dr. Triwiranto
354 dr. Tunsiah
355 dr. Ulil Abshor
356 dr. Ursula Tjendana
357 dr. Valentinne Yuasita
358 dr. Via Poerwenti
359 dr. Vendy Tristanto
dr. Vin Nadiyah Hajjah
360 dr. Wahyu Phrativhi
361 dr. Wahyu Wijaya

NO NAMA
362 dr. Widi Prabandari
363 dr. Widiarti
dr. Widyastuti Sunardi
364 dr. Wike Wahyu Wijayanti
365 dr. Winarni Sri Lestariningsih
dr. Winda Rosita Dewi
366 dr. Winda Eka Permatasari
367 dr. Winny Susilowati
368 dr. Wisnu Widodo Eko Putra
369 dr. Wiwik Supartiwi

NO NAMA
370 dr. Wiwien Sugih Utami
371 dr. Wiwin Sri Niscahya Wati
372 dr. Yayak Hendarini
373 dr. Yayuk Mardiani
374 dr. Yeni Rachmawati Komalasari
375 dr. Yoga Wahyu Pratiwi
dr. Yohana
376 dr. Yohanes Sudarmanto
377 dr. Yoki Citra Perwira

NO NAMA
378 dr. Yonatha Novara Pretysta
379 dr. Yonex Firman
380 dr. Yudha Ananta Khaerul Putra
381 dr. Yudha Nurdian, M.Kes
382 dr. Yudhistira Kuswardhana
383 dr. Yudia Candrawati
384 dr. Yuli Priyanto
385 dr. Yuni Ermita Djatmiko, M.Kes
386 dr. Yuni Lestari Setiowati
387 dr. Yunita Armiyanti, M. Kes

NO NAMA
388 dr. Zaenab
389 dr. Zahrah Febianti

DATA SIP DOKTE
IDI CABANG JEMB
NO NAMA
1 dr. A. Albaet Nasrulloh
2 dr. A. Bawin Budiharto
3 dr. A. Multazam
4 dr. Abdul Malik
5 dr. Abdul Rouf
6 dr. Achmad Zain Wahjudi
7 dr. Adelia Handoko
8 dr. Adhika Prastya Wikananda
9 dr. Adhiningsih Yulianti
10 dr. Adi Darma Effendi
11 dr. Adi Kurniawan
12 dr. Adinda Putri Yusri Amrina
13 dr. Aditha Satria Maulana
13 dr. Adisutjipto Tedjasukmana
14 dr. Adi Subagyo
15 dr. Aditya Hudiansyah

16 dr. Adi Widjaja, SE
17 dr. Adi Wirawan
18 dr. Afi Adi Kirana
19 dr. Agrista Prima Alditya Putra
20 dr. Agung Pandu Wiantoro
21 dr. Agus Yudi Prastaji
22 dr. Agustina Yuniarti Rahayu
23 dr. Ahmad Barrun Nidhom
24 dr. Ahmad Jamil
25 dr. Ainur Rokhmah
dr. Aisyah Rahmawati
dr. Aisyiyah Alviana Agustin
dr. Aldhi Wimandra
26 dr. Alfa Rianul Setiawan
27 dr. Alfi Yudisianto
28 dr. Ali Akbar Mushan
29 dr. Al Munawir
dr. Alvin Isnaini
30 dr. Amanda Cahya Yanuartika
31 dr. Ana Silfia Margareta
dr. Anas Bakhtiar Diyansah
dr. Anaz Handyan
33 dr. Ancah Caesarina Novi Marchianti

35 dr. Andri Novrianto
36 dr. Andritta Febriana
37 dr. Andy Maulana Ardiansyah
38 dr. Angga Ratnafuri
39 dr. Anggind Grandika Andromeda
40 dr. Anindita Novita Damayanti
41 dr. Anindita Pramadyasiwi
42 dr. Anisa Khilda Karima
43 dr. Anita Fadhilah
44 dr. Anna Widyassari
45 dr. Any Krishnamurti
46 dr. Apsari
47 dr. Ardi Bayu Sutrisno
48 dr. Ariani Windaastuti
49 dr. Arif Prianggara
50 dr. Arinda Lironika Suryana
51 dr. Aris Prasetyo
52 dr. Aris Tridjoko
53 dr. Arisanty Nur Setia Restuti
dr. Audrey Soegiharto Santoso
54 dr. Arti Tyagita Kusumawardhani
55 dr. Ayu Munawaroh Aziz

56 dr. Ayunda Afdal
58 dr. Bagus Dhananing Satwikaputra
59 dr. Bambang Purwo Anggono
60 dr. Bambang Suwartono, MM
61 dr. Bambang Witarno
62 dr. Bayu Candra Cahyono
63 dr. Bela Mayvani Rachman
64 dr. Beni Lestari Mahardika
65 dr. Berliana Kurniawati Nur Huda
66 dr. Bima Akhmad Angsar
67 dr. Bintoro Adi Saputra
68 dr. Bonita Tanjung Hapsari
69 dr. Bunyamin Tanoko
70 dr. Candra Bumi, M.Si
72 dr. Chaidar Hilman Faris
73 dr. Chandra Permana
74 dr. Chindhia Rima Rochmatika
75 dr. Cici Wulantari Sitanggang
76 dr. Condro Suryo Bawono
77 dr. Crystalia
78 dr. Dafista Diyantika

79 dr. Danar Agung Nugroho
80 dr. Dandy Candra Satyawan
81 dr. Dani Riandi
82 dr. Darmadi
83 dr. Delin Mayasari
84 dr. Desy Damayantie
85 dr. Desie Dwi Wisudanti
86 dr. Dewi Indah Novita
87 dr. Dewi Tetti Banuarea
88 dr. Dhea Anyssa Rachmawati
89 dr. Dian Alfiyatul Uliyah
90 dr. Dian Damayanti
91 dr. Dian Hadi Purnamasari
92 dr. Dian Fitriyana
93 dr. Dian Retno Safitri
94 dr. Dian Suminar Pertiwi
95 dr. Diana Chusna Mufida
96 dr. Didit Dwi Rismawan
97 dr. Dievi Widowati
98 dr. Dina Helianti
99 dr. Dina Mustikasari A
100 dr. Dina Nurul Agustina

101 dr. Dina Rusdiana
102 dr. Diniusi Saptiari
103 dr. Dion Krismashogi Darmawan
104 dr. Dissy Arnanty Nurtami Putri
105 dr. Ditta Dwiyani
106 dr. Diyan Pusposari
107 dr. Djoko Poernomo
108 dr. Djoko Setijo Widodo
109 dr. Doddy Radhi Sakti
110 dr. Dodi Guntoro
111 dr. Dony Harjatno
112 dr. Dudung Ari Rusli
113 dr. Dwianto Budi Prabowo
114 dr. Dwi Hepti Wulandari
115 dr. Dwita Aryadina Rachmawati
116 dr. Dyanita Sulistyawati
117 dr. Edwina Purwastuti
118 dr. Edy Junaidi
119 dr. Eka Mustika Sari
120 dr. Eka Prasetya Wati
121 dr. Eka Surya Septiawan
122 dr. Ellen Siska Susanti

123 dr. Elly Nurus Sakinah, M.Kes
124 dr. Emile Nuralim
125 dr. Endang Sulistyowati E.R
126 dr. Endang Tiyastoeti Soehadi
127 dr. Eny Rahmi Yulianti
128 dr. Enny Suswati
129 dr. Erlin Polehwidhi
130 dr. Erlina Hadi
131 dr. Erma Sulistyaningsih
132 dr. Ernst Randy Nuralim
133 dr. Erwin Maulana Farmanda
134 dr. Eva Rosita Dewi
135 dr. Faida, MMR
136 dr. Faishal Harits Wahdin
137 dr. Faradila Nur Aini
139 dr. Fatkhur Ruli Malik Qilsi
140 dr. Fauziah Putri Paramita
141 dr. Febriyanti Eka Wardhani Citro
142 dr. Felik Rudianto
143 dr. Fikhy Rizky Hapsari
144 dr. Firman Fadly Kusuma Putra
145 dr. Fitriana Putri
146 dr. Gini Wuryandari
147 dr. Goenawan Slamet

148 dr. Grace Giovani
149 dr. Gresisce Manegeng
140 dr. Hairrudin,M.Kes
141 dr. Halimah Arvi Susilaningsih
142 dr. Hana Nadya
143 dr. Handoko Kosasih
144 dr. Hari Pitono
145 dr. Hendry Cleodora Romeo
146 dr. Hendro Soelistijono, MM.,M.ARS
147 dr. Heppie Nuansa
148 dr. Heri Purwanto
149 dr. Heru Iskandar
150 dr. Heru Sutandio
151 dr. I Gusti Nyoman Arya Sidemen
152 dr. I Nyoman Dharma Putra Wijaya
153 dr. I Wayan Sulianta
154 dr. Ida Srisurani Wiji Astuti
155 dr. Ida Tri Apriliya
dr. Ignasius Bayu Angga
156 dr. Ignatius Yuli Sugiarto
157 dr. Ika Benny Kartika Sari
158 dr. Ika Fatmasari
159 dr. Ika Rahmawati Sutejo

160 dr. Ika Sedar Wasis Sasono
161 dr. Ike Sukma Dewi Kunwardhani
162 dr. Ina Soraya
163 dr. Intan Maharani
164 dr. Intan Noha Brilyanti
165 dr. Irawan Fajar Kusuma
166 dr. Irfan Arif Ikhwani
167 dr. Irma Zakina
168 dr. Irsalina Rahmayanti
169 dr. Iswarno
170 dr. Ivan Hendra Hermawan
171 dr. Jarwoto Roestanajie
172 dr. Jauhar Firdaus
173 dr. Jeffri Chrisdiawan
174 dr. Johanes Soesilo Handojo
175 dr. Juwita Cahyaningrum
176 dr. Khoirul Anam
177 dr. Koeshar Yudyarto
178 dr. Kukuh Wibisono
179 dr. Kurnia Anyndita Wira Praja
180 dr. Laila Rahmadhani Saragih
181 dr. Laurencia Febrina Ruth Suwarso
182 dr. Lifesia Natali Lidjaja
183 dr. Liliek Farida

184 dr. Lilik Juliawati Saputra
185 dr. Lilik Lailiyah, M.Kes
186 dr. Lilik Laksmiati Susilo Parti
187 dr. Lintang Desi Ariyanti Putri
188 dr. Lis Widodo Peni
189 dr. Lukman Hakim
190 dr. Lutfiyani
194 dr. M. Agus Burhan Syah
191 dr. M. Cholid Baktir
192 dr. M. Husnan
193 dr. M. Iqbal Fathoni
194 dr. M. Nazim Fauzi
dr. M. Rizal Eris Abd. Ghaniy
195 dr. Made Adnyana
196 dr. Made Nitia Debiasista
197 dr. Maharini
198 dr. Mahesa Permana Kardis
199 dr. Maria Oktaviana
200 dr. Maria Ulfah
201 dr. Martha Nurani Putri
202 dr. Mega Endahlestari
203 dr. Mega Nur Purbo Sejati
204 dr. Megawati

205 dr. Meilina Liesstiyawati
206 dr. Mekania Tamarizki
dr. Melissa Arinie Raharjo
dr. Meta Andharasta
207 dr. Mevie Fitrah Dewi
dr. Mochamad Bagus Rifnaputra
208 dr. Moch Hisyam Rifqi
209 dr. Mohammad Dilli Yudistira
210 dr. Mudjijo
211 dr. Muhammad Abdul Waris
212 dr. Muhammad Afiful Jauhani
213 dr. Muhammad Ihwan Narwanto
dr. Muhammad Iqbal Fanani
dr. Nabilla
214 dr. Naila Esvandari
215 dr. Narendra Wahyu Junior
216 dr. Nataniel Hadi Putra
219 dr. Ni Putu Dewi Puspitawati
220 dr. Nila Nuril Fatima
221 dr. Niluh Ketut Susi Andarini
222 dr. Nina Hapsari
223 dr. Nova Afendi
224 dr. Noverdiana Ekasari Hermanda

225 dr. Novita Nuraini
226 dr. Nunung Indriastutik
227 dr. Nur Ahaddiyah
228 dr. Nur Ahmad Santoso
dr. Nur Fadilah
229 dr. Nur Falakhis Shoima
230 dr. Nurina Restu Pratiwi
231 dr. Nurlaili Triakusuma
232 dr. Nur Rakhman Ahadi
233 dr. Nurbaiti, M.Kes
234 dr. Nuri Usmawati
235 dr. Nurul Hidayati
236 dr. Nurul Ihsani
237 dr. Nurullah Hidajahningtyas, MM
238 dr. Oemi Djauhari Soenarto, MM
239 dr. Oey Radianto Chandra
240 dr. Oktavia Wahyu Krisna Murti
dr. Okti Rahmawati
dr. Olivia Listiowati Prawoto
241 dr. Olong Fadjri Maulana, M.ARS
242 dr. Pipiet Wulandari

243 dr. Pudjo Wahjudi
245 dr. Puguh Prasetyoadi
246 dr. Purwoko
247 dr. Putri Lina Santoso
248 dr. Putu Tanor Yansa
249 dr. Ragil Ismi Hartanti
250 dr. Ragil Walidatil Rizki
251 dr. Rakhman Tyas Perdana
252 dr. Ratih Justitia Kartika
253 dr. Ratna Anggraini
254 dr. Ratna Inawati Suseno
255 dr. Ratna Pancasari
256 dr. Ratna Yulianti
257 dr. Ratnawati
258 dr. Reni Septa Anggraeni
259 dr. Renny Wulandari
260 dr. Retno Handayani
261 dr. Retno Sundari Puspitawati
dr. Reyhan Radythia Ratawinata
262 dr. Reza Kurniawan

263 dr. Rhaumanen Vita Tantina
264 dr. Ricky Septafianty
265 dr. Rika Purwaningsih
266 dr. Rike Eka Juniawati
267 dr. Rinda Nurul Karimah
dr. Ringenggo Haruming Putri
268 dr. Rinto Suharyo
269 dr. Ririn Esterina
270 dr. Risdya Martha Wardani
271 dr. Riska Nur Emalia Rusdiani
272 dr. Rita Wahyuningsih
273 dr. Rizki Diah Kartikasari
274 dr. Rizki Hardwiansyah
275 dr. Rizky Amalia Putri
276 dr. Rizky Imansari
277 dr. Robby Tardianto
278 dr. Rohmadoni
279 dr. Rohmat Pujo Santoso
280 dr. Rosita Agustin Suminar
281 dr. Rosita Dewi
282 dr. Rosna Hermila
283 dr. Roszania Hidayat

284 dr. Rukhin Ali
285 dr. Rully Rusdiana
286 dr. Rumi Enggarwati
287 dr. Rusmijati
288 dr. Sabrina Leonita
289 dr. Santi Indriasari
290 dr. Santoso Gunawan
291 dr. Selly Puspita Sari
292 dr. Sendy Dwi Pertiwi
dr. Senoadji Pratama
293 dr. Sheila Soraya Choliq
294 dr. Sheilla Rachmania
295 dr. Shofie Sabatini Verayunia
296 dr. Sigit Kusuma Jati
297 dr. Soegeng Wiyono
298 dr. Soemarmo
299 dr. Sofan Safrony
300 dr. Sri Isna Amelia Ahmad
301 dr. Sugiyanta
303 dr. Sujanto
304 dr. Sukron Nanda Firmansyah
305 dr. Sulih Yekti Ngutamani

306 dr. Sulistin Nurwati
307 dr. Sunaryo
308 dr. Supriono
309 dr. Suratini, MMRS
310 dr. Susilo Wardhani Soehadi, MM
311 dr. Sutedja Wahjudi
312 dr. Suwinasis
313 dr. Syaiful Anam
314 dr. Sylvia Viana Varanita
315 dr. Tasi'ah Nashirah Nur
316 dr Taufiq Gemawan
317 dr. Teddy Tejomukti
318 dr. Tegoeh Wibowo
319 dr. Titis Sulistyowati
320 dr. Tontowi Jauhari
dr. Tri Eko Wahyuni
321 dr. Trihedi Prana
322 dr. Tri Ritasari
323 dr. Triningtyas Ninik Widyawati
324 dr. Triwiranto
325 dr. Tunsiah
326 dr. Ulil Abshor
327 dr. Valentinne Yuasita

328 dr. Via Poerwenti
329 dr. Vendy Tristanto
330 dr. Wahyu Phrativhi
331 dr. Widi Prabandari
332 dr. Widiarti
333 dr. Wike Wahyu Wijayanti
dr. Winarni Sri Lestariningsih
334 dr. Winny Susilowati
335 dr. Wisnu Widodo Eko Putra
336 dr. Wiwik Supartiwi
337 dr. Wiwien Sugih Utami
338 dr. Wiwin Sri Niscahya Wati
339 dr. Yayak Hendarini
340 dr. Yayuk Mardiani
341 dr. Yeni Rachmawati Komalasari
342 dr. Yoga Wahyu Pratiwi
dr. Yohana
343 dr. Yohanes Sudarmanto
dr. Yoki Citra Perwira
344 dr. Yonatha Novara Pretysta
dr. Yonex Firman
dr. Yudha Ananta Khaerul Putra

345 dr. Yudha Nurdian, M.Kes
346 dr. Yudhistira Kuswardhana
347 dr. Yudia Candrawati
348 dr. Yuli Priyanto
349 dr. Yuni Ermita Djatmiko, M.Kes
350 dr. Yuni Lestari Setiowati
351 dr. Yunita Armiyanti, M. Kes
352 dr. Zaenab
353 dr. Zahrah Febianti

SIP DOKTER UMUM
ANG JEMBER TH. 2018
MASA
NO. STR BERLAKU
STR
35.1.1.100.1.14.147765 04/03/2019
35.1.1.100.1.17.170477 01/05/2022
35.1.1.100.3.17.073526 8/8/2022
33.1.1.100.2.13.092258 2/13/2018
35.1.1.100.3.16.036075 4/10/2022
33.1.1.100.3.17.036058 10/13/2022
35.2.1.100.1.14.138724 2/10/2019
35.1.1.100.1.15.147981 6/24/2020
35.2.1.100.1.15.115492 11/1/2020
35.1.1.100.1.18.180536 11/8/2023
33.1.1.100.2.16.125597 7/25/2022
35.2.1.100.1.14.139614 2/7/2019
35.1.1.100.2.18.127988 10/3/2023
35.1.1.100.3.17.042992 3/2/2023
35.1.1.100.3.17.078073 1/19/2023
35.1.1.100.1.17.169463 5/20/2022
35.1.1.100.3.16.043470 2/16/2022
35.1.1.100.2.12.086947 24/5/2017
35.1.1.100.1.16.162142 4/11/2022
35.1.1.100.1.15.160223 1/30/2020
35.1.1.100.1.18.176976 12/27/2023
35.1.1.100.2.16.117094 1/17/2021
33.2.1.100.3.17.042993 6/9/2022
35.1.1.100.1.18.174375 9/19/2023
35.1.1.100.2.12.081140 4/10/2017
35.2.1.100.1.15.148077 11/18/2020
35.2.1.100.1.18.178023 4/5/2023
35.2.1.100.1.18.182896 8/7/2020
35.1.1.100.1.18.174377 3/16/2023
35.1.1.100.1.16.159710 9/17/2021
35.1.1.100.3.16.059714 7/1/2022
35.1.1.100.1.14.149515 4/3/2019
51.1.1.100.2.15.076386 8/5/2020
35.2.1.100.1.17.170940 10/7/2022
35.2.1.100.2.16.124168 1/17/2022
35.2.1.100.2.15.106262 1/27/2020
35.2.1.100.1.18.182897 4/17/2023
35.1.1.100.1.14.156749 11/14/2019
35.2.1.100.3.17.071099 3/9/2023
35.1.1.100.3.16.042994 11/6/2021
35.2.1.100.3.18.097045 2/13/2024
35.1.1.100.2.15.106391 1/27/2020
35.2.1.100.2.15.110184 6/3/2020
35.1.1.100.1.14.148314 3/11/2019
35.2.1.100.1.15.148320 6/24/2020
35.2.1.100.1.14.138726 2/10/2019
34.2.1.100.1.16.166387 22/4/20122
33.2.1.100.3.16.043007 5/20/2022
33.2.1.100.3.16.013054 7/24/2021
- -
35.2.1.100.3.17.087775 4/16/2023
35.1.1.100.1.13.146467 11/19/2018
35.2.1.100.2.16.121124 4/28/2021
35.1.1.100.1.18.178753 12/7/2023
35.2.1.100.2.16.120907 8/17/2021
35.1.1.100.3.16.042732 2/3/2022
35.1.1.100.3.17.078116 5/25/2023
33.2.1.100.2.15.112676 8/5/2020
33.2.1.100.1.18.179509 6/10/2023
33.2.1.100.1.17.164131 12/6/2022
35.2.1.100.1.14.138868 2/10/2019
31.2.1.100.1.18.181081 4/12/2023
35.1.1.100.2.18.133781 7/4/2024
35.1.1.100.3.17.014789 1/18/2023
35.1.1.100.3.17.043008 2/2/2023
35.1.1.100.3.16.035975 11/10/2021
35.1.1.100.2.15.110967 6/3/2020
35.2.1.100.1.15.148323 6/24/2020
35.1.1.100.3.18.094421 10/24/2023
35.2.1.100.1.18.174367 7/29/2023
35.1.1.100.1.17.170959 1/3/2023
35.1.1.100.1.17.170949 6/28/2023
35.2.1.100.1.15.151964 11/18/2020
35.1.1.100.3.06.043009 1/13/2022
35.1.1.100.2.11.007037 5/19/2016
35.1.1.100.1.14.153536 9/9/2019
35.1.1.100.1.17.170929 1/21/2023
35.2.1.100.1.16.160902 11/15/2021
12.2.1.100.1.17.173462 7/27/2023
35.1.1.100.2.14.105474 10/14/2019
16.2.1.100.3.16.032726 10/26/2021
35.2.1.100.1.16.160934 5/29/2022
35.1.1.100.1.14.144406 10/9/2019
51.1.100.2.15.100033 1/27/2020
35.1.1.100.3.17.082780 2/12/2023
35.1.1.100.2.11.043.010 10/18/2016
35.2.1.100.2.18.139405 6/29/2023
35.2.1.100.2.15.115486 11/1/2020
31.2.1.100.1.08.093182 4/1/2013
35.2.1.100.1.2.17.123414 11/29/2022
34.2.1.100.2.14.104435 10/2/2019
35.2.1.100.1.16.159715 12/8/2021
35.2.1.100.2.16.16837 2/13/2021
35.2.1.100.2.16.115472 9/14/2021
35.2.1.100.1.16.160926 4/25/2022
35.2.1.100.2.18.128506 5/19/2023
35.2.1.100.3.16.047489 2/17/2022
35.2.1.100.2.14.106287 11/2/2019
34.2.1.100.3.17.042737 3/18/2023
35.1.1.100.2.15.11.115482 11/1/2020
35.2.1.100.3.18.096078 10/1/2023
35.2.1.100.2.11.042733 10/16/2016
35.2.1.100.1.13.133772 8/26/2018
35.2.1.100.3.18.096288 8/22/2023
51.2.1.100.3.17.043011 2/16/2023
35.2.1.100.1.14.138867 2/10/2019
35.1.1.100.2.17.133707 9/16/2022
31.12.1.100.1.15.145677 5/8/2020
35.2.1.100.1.13.146459 11/19/2018
35.2.1.100.3.16.043012 11/3/2021
33.1.1.100.2.14.078118 12/11/2019
35.1.1.100.3.16.020279 5/9/2022
35.1.1.100.1.15.160149 1/28/2020
35.1.1.100.2.16.117297 11/25/2021
35.1.1.100.3.18.093306 12/13/2023
35.1.1.100.3.16.04314 10/6/2022
35.1.1.100.3.16.043015 5/15/2022
35.2.1.100.1.14.153422 9/4/2019
35.2.1.100.3.16.002997 10/27/2022
35.2.1.100.2.17.131298 1/22/2023
35.2.1.100.3.16.036069 4/28/2022
35.1.1.100.2.11.042731 16/10/2016
35.2.1.100.3.17.064895 3/16/2023
35.2.1.100.1.14.141529 6/13/2019
35.1.1.100.1.12.133599 7/20/2017
35.2.1.100.1.15.152730 11/18/2020
35.2.1.100.3.18.091414 9/16/2023
33.1.1.100.3.16.042995 9/13/2022
33.2.1.100.3.17.036070 5/12/2022
35.2.1.100.3.16.042997 6/3/2022
35.2.1.100.3.16.052673 7/14/2022
34.2.1.100.2.11.042727 16/10/2016
51.2.1.100.3.16.043005 10/20/2021
35.2.1.100.3.16.036063 12/1/2021
35.2.1.100.2.11.042740 10/16/2016
35.1.1.100.1.17.164672 4/6/2022
35.1.1.100.1.17.163065 10/2/2022
35.2.1.100.2.17.028055 3/11/2023
35.2.1.100.2.11.037335 10/3/2016
35.1.1.100.3.17.061485 7/5/2022
35.2.1.100.1.14.139455 2/11/2019
34.1.1.100.1.15.148630 6/18/2020
35.2.1.100.1.15.148100 6/24/2020
31.2.1.100.1.16.159413 2/24/2022
35.1.1.100.2.11.042999 10/16/2016
31.2.1.100.2.14.105350 10/12/2019
35.1.1.100.1.16.170637 1/21/2021
34.2.1.100.3.16.050451 2/4/2022
16.2.1.100.3.16.035967 2/6/2022
35.1.1.100.3.17.043000 11/12/2022
34.2.1.100.3.16.023289 9/29/2021
35.1.1.100.3.16.042728 10/11/2021
35.2.1.100.2.15.113482 8/4/2020
35.2.1.100.2.15.115397 10/29/2020
35.1.1.100.3.16.043002 7/2/2022
35.1.1.100.3.16.036074 4/30/2022
32.1.1.100.1.14.139867 2/10/2019
51.1.1.100.3.16.036065 4/18/2022
35.1.1.100.3.16.043016 4/20/2022
35.1.1.100.3.17.045284 3/6/2023
35.1.1.100.3.16.001348 6/6/2021
35.1.1.100.3.17.070492 1/10/2023
35.1.1.100.3.17.082027 9/16/2022
35.1.1.100.2.15.111056 6/3/2020
51.1.100.3.17.018910 2/26/2023
35.2.1.100.2.13.096079 7/16/2018
35.2.1.100.3.17.077511 4/6/2022
35.1.1.100.3.17.078396 1/9/2023
35.1.1.100.3.17.073527 7/7/2022
51.1.2.100.1.10.116142 12/29/2015
35.2.1.100.2.16.117681 7/19/2021
35.2.1.100.2.14.104209 10/2/2019
35.1.1.100.1.13.139056 18/2/2018
35.2.1.100.2.15.101505 1/27/2020
35.2.1.100.1.16.159717 7/25/2021
35.2.1.100.3.17.075297 5/22/2022
35.2.1.100.1.13.127998 25/1/2018
34.1.1.100.3.16.000903 2/17/2021
63.1.1.100.1.13.138913 2/15/2018
35.2.1.100.1.1.3.133774 8/26/2018
35.2.1.100.2.16.121115 7/12/2021
35.1.1.100.3.16.036077 7/3/2022
35.1.1.100.3.16.043017 4/20/2022
35.1.1.100.1.16.157043 10/6/2021
35.1.1.100.2.15.094428 1/27/2020
35.1.1.100.1.11.121113 1/31/2023
35.1.1.100.3.16.063943 9/30/2022
35.2.1.100.1.12.133826 7/23/2017
35.1.1.100.3.16.006636 9/13/2021
35.1.1.100.3.16.136060 6/6/2022
35.1.1.100.2.15.110994 4/27/2020
35.2.1.100.1.16.158282 7/1/2021
12.2.1.100.2.13.091900 14/1/2018
35.2.1.100.1.1.413856 2/10/2019
35.2.1.100.1.15.148121 6/24/2020
33.2.1.100.3.16.036.059 5/6/2022
35.2.1.100.3.16.013025 9/7/2021
35.2.1.100.3.16.036072 10/28/2021
35.2.1.100.3.16.035981 5/20/2022
35.2.1.100.1.14.144408 10/9/2019
35.2.1.100.3.17.043020 10/13/2022
35.1.1.100.1.17.166284 9/23/2022
35.2.1.100.2.15.112124 7/9/2020
35.1.1.100.3.16.048021 8/22/2022
35.1.1.100.3.16.042945 4/17/2022
35.1.1.100.3.16.035970 11/10/2021
35.1.1.100.2.11.014791 10/7/2016
35.1.1.100.2.12.087821 7/4/2017
35.1.1.100.1.18.195331 12/8/2023
51.1.1.100.3.16.013024 6/20/2021
35.2.1.100.1.13.140568 4/23/2018
35.2.1.100.3.16.042741 3/31/2022
35.1.1.100.1.13.136965 11/18/2018
31.2.1.100.3.16.033507 10/11/2021
33.2.1.100.3.17.043019 6/28/2022
35.1.1.100.2.16.124926 3/24/2022
35.2.1.100.2.15.112118 7/6/2020
35.2.1.100.1.15.148324 6/24/2020
35.2.1.100.3.16.035980 3/25/2022
35.2.1.100.3.16.043018 5/17/2022
35.2.1.100.1.16.157042 11/15/2021
35.2.1.1.100.1.18.178746 5/28/2023
35.2.1.1.100.1.17.173488 5/13/2023
33.2.1.100.3.16.036068 5/10/2020
35.1.1.100.1.17.170934 7/16/2023
35.1.1.100.2.15.112092 7/6/2020
35.1.1.100.2.15.110188 4/14/2020
33.1.1.100.3.17.083081 6/6/2023
35.1.1.100.3.16.061885 4/13/2022
35.1.1.100.1.15.148252 6/24/2020
33.1.1.100.3.16.042735 2/18/2022
35.1.1.100.1.17.168619 9/10/2022
35.2.1.100.1.18.174343 1/26/2023
35.2.1.100.1.17.164387 5/17/2022
35.1.1.100.1.14.138723 2/10/2019
35.1.1.100.1.17.172556 11/18/2022
35.2.1.100.1.15.167553 10/16/2020
35.2.1.100.1.16.157047 10/24/2021
35.2.1.100.2.15.110963 6/3/2020
33.2.1.100.2.14.104669 10/2/2019
35.1.1.100.1.14.149519 4/3/2019
35.2.1.100.2.17.125588 11/21/2022
35.2.1.100.2.15.106272 9/23/2020
10/26/2022
35.2.1.100.2.16.121122 4/28/2021
35.1.1.100.1.17.170913 3/27/2023
35.2.1.100.1.17.172548 2/17/2016
34.2.1.100.3.17.087128 9/11/2022
35.2.1.100.1.13.131015 5/1/2018
35.2.1.100.1.17.166541 6/16/2022
35.1.1.100.3.16.058572 5/5/2022
35.2.1.100.3.16.026446 8/15/2016
35.2.1.100.3.16.035973 1/17/2022
35.2.1.100.1.14.142605 5/23/2019
35.2.1.100.1.13.128376 1/25/2018
34.2.1.100.3.16.013053 7/2/2021
35.2.1.100.3.16.042959 7/6/2022
51.1.1.100.2.17.128288 12/21/2022
35.2.1.100.3.16.042960 10/29/2021
33.2.1.100.1.17.174393 10/19/2022
35.2.1.100.1.18.178038 12/6/2023
35.1.1.100.2.11.042961 16/10/2016
34.2.1.100.2.11.063803 12/8/2016
35.1.1.100.3.16.042962 3/14/2022
35.1.1.100.3.17.046619 6/11/2022
35.1.1.100.3.16.001624 4/15/2022
35.2.1.100.1.12.133767 7/23/2017
35.1.1.100.3.17.070008
34.2.1.100.2.15.002329 12/4/2020
35.2.1.100.1.16.161033 3/24/2022
35.1.1.100.2.15.105454 6/3/2020
35.2.1.100.1.14.138874 2/10/2019
35.2.1.100.3.16.005422 1/29/2021
33.2.1.100.3.16.006850 12/19/2021
35.2.1.100.2.15.108267 6/3/2020
51.2.1.100.3.16.042963 7/11/2022
73.2.1.100.3.17.036066 8/26/2022
35.2.1.100.1.13.136970 11/18/2018
35.2.1.100.1.10.107384 1/6/2015
33.2.1.100.3.16.036081 12/30/2021
35.2.1.100.2.14.105732 12/2/2019
31.1.1.100.1.17.171898 12/1/2022
35.1.1.100.1.16.160903 6/19/2022
34.2.1.100.3.18.091595 10/9/2023
35.2.1.100.3.17.071133 9/15/2022
33.1.1.100.3.16.060200 10/25/2022
35.2.1.100.1.17.169407 6/16/2022
35.2.1.100.2.13.091407 1/9/2018
35.2.1.100.1.17.175173 9/26/2023
35.1.1.100.3.17.042964 7/30/2022
35.2.1.100.1.12.131150 5/1/2017
35.2.1.100.1.17.163109 10/31/2022
35.2.1.100.1.16.159801 4/3/2022
35.2.1.1.100.3.16.043006 1/26/2022
35.2.1.100.2.17.124712 12/16/2022
35.1.1.100.1.17.164277 11/11/2022
33.2.1.100.1.17.172120 12/8/2022
35.2.1.100.1.16.160898 1/2/2022
35.1.1.100.2.11.042966 16/10/2016
51.1.1.100.3.16.045283 7/27/2022
35.1.1.100.3.16.045288 4/1/2022
35.2.1.100.2.15.115490 11/1/2020
35.2.1.100.2.14.104214 10/2/2019
35.2.1.100.3.13.096378 7/31/2018
35.2.1.100.2.18.131016 12/23/2023
34.1.1.100.3.16.036076 10/7/2022
35.2.1.100.3.18.096287 4/28/2024
35.2.1.100.2.16.121901 3/26/2022
35.2.1.100.3.16.036071 8/7/2022
32.2.1.100.2.16.120419 8/3/2021
35.2.1.100.2.16.118453 2/4/2021
35.1.1.100.3.16.036078 11/16/2021
35.2.1.100.1.14.149521 4/3/2019
35.2.1.100.2.17.127094 4/6/2022
35.1.1.100.1.17.170950 4/23/2023
35.2.1.100.1.15.148326 6/24/2020
35.2.1.100.1.15.14832262 6/24/2020
35.2.1.100.1.17.170924 6/22/2023
34.1.1.100.3.17.042955 3/14/2023
35.1.1.100.3.17.077508 12/14/2022
33.1.1.100.3.17.080996 1/19/2023
35.1.1.100.1.14.144929 8/16/2019
35.2.1.100.2.15.110187 6/3/2020
33.1.1.100.3.16.036080 2/7/2022
35.1.1.100.3.17.082779 7/5/2022
35.1.1.100.1.15.148507 6/24/2020
34.2.1.100.2.17.118.807 12/15/2022
35.2.1.100.3.16.042969 10/20/2021
34.1.1.100.3.16.035974 3/18/2022
35.1.1.100.3.16.018190 4/10/2021
34.2.1.100.3.16.142970 5/4/2022
33.2.1.100.3.16.042967 6/30/2022
34.1.1.100.3.17.042956 4/3/2023
35.1.1.100.3.16.036062 9/30/2022
35.1.1.100.1.15.164328 6/19/2020
35.2.1.100.2.18.139150 4/17/2023
35.2.1.100.1.16.159791 8/26/2021
35.1.1.100.1.14.138725 2/10/2019
35.1.1.100.1.13.136971 11/18/2018
32.1.1.100.3.16.103064 12/15/2021
35.2.1.100.3.16.035971 3/31/2022
35.1.1.100.3.18.093334 9/30/2023
35.2.1.100.2.17.118480 9/17/2022
35.1.1.100.3.16.047819 3/14/2022
33.2.1.100.3.16.042971 3/8/2022
35.2.1.100.3.16.035963 8/27/2022
35.1.1.100.3.16.042972 7/3/2022
35.2.1.100.2.14.106387 12/12/2019
35.1.1.100.1.15.112071 8/5/2020
35.2.1.1.100.2.17.127145 11/1/2022
34.2.1.100.2.16.116921 1/14/2021
35.1.1.100.2.15.107577 1/27/2020
35.2.1.100.2.14.104190 8/18/2019
35.2.1.100.2.15.106237 1/27/2020
35.2.1.100.3.17.075511 12/28/2022
35.2.1.100.3.16.018189 7/15/2021
35.2.1.100.1.17.171038 4/4/2023
35.2.1.100.3.16.036079 2/14/2022
35.1.1.100.3.16.024956 3/11/2022
33.2.1.100.3.17.036057 12/16/2022
34.2.1.100.3.17.042739 8/22/2022
35.2.1.100.2.16.112094 10/26/2020
35.2.1.100.3.16.035969 3/31/2022
35.2.1.100.3.16.036061 3/10/2022
35.1.1.100.2.14.101872 10/2/2019
35.2.1.100.1.15.148261 6/24/2020
35.2.1.100.1.18.179457 6/14/2023
35.1.1.100.2.14.104151 10/2/2019
12.1.1.100.1.15.147936 5/13/2020
35.2.1.100.1.16.159712 9/4/2021
35.1.1.100.2.17.135283 7/25/2023
35.1.1.100.1.17.166557 8/10/2022
35.1.1.100.3.17.042975 10/19/2022
35.1.1.100.1.15.148254 6/24/2020
35.2.1.100.2.14.096094 10/2/2019
35.1.1.100.3.16.035968 7/1/2022
35.2.1.100.3.16.045281 9/1/2022
35.2.1.100.3.17.071395 6/18/2022
35.2.1.100.3.17.042729 6/4/2022
35.2.1.100.1.16.156707 12/6/2021
35.2.1.100.1.12.135876 10/10/2017
UMUM
TH. 2018
ALAMAT PRAKTEK
1
Puskesmas Cakru Jember
(503/A.1/0130DU/35.09.325/2018)
Puskesmas Rowotengah
(503/A.1/0158DU/35.09.325/2018)
PKM. Andongsari Ambulu
RS. Bina Sehat Jember (440/200.DU/414/2016)
RS. Perkebunan PT. Nusantara Medika Utama

(503/A.1/117DU/35.09.325/2017)
Klinik Pratama Dokterku Mitra Sehat Jl.
Kawi No. 288 Langsepan Jember
(440/437/414/2014)
Jl. Danau Tondano No. 197 Jember

(440/51.DU/414/2016)
Klinik Bhakti Pratama Mayang Jember
(503/A.1/0168DU/35.09.325/2018)
Klinik Yonif 515/9/2 Kostrad
(503/A.1/93DU/35.09.325/2017)
Puskesmas Arjasa Jember
Apotek Sapta Farma Jember

(503/A.1/162.DU/35.09.325/2017)
Puskesmas Gladak Pakem
(503/A.1/0026DU/35.09.325/2018)
RS. Siloam Jember

(503/A.1/0034DU/35.09.325/2018)
Dsn Pertelon RT 3 RW 10 Silo Jember
(440/117.DU/414/2016)
Jl. Letjen Sutoyo No 6 Jember
(440/090/414/2012)
RS. Paru Jember
(440/152.DU/414/2016)
RSD.Dr. Soebandi Jember
(440/248.DU/414/2015)
Klinik Bhakti Pratama Mayang Jember
(503/A.1/0094DU/35.09.325/2018)
Jl. Kamboja No. 5 Padomasan Jember
(440/19.DU/414/2016)
Jl. Papandayan Krajan II Kencong

(503/A.1/0050DU/35.09.325/2018)
Jl. PB. Sudirman No.117 Desa Serut Panti

Jember (440/03.DU/414/2016)
Klinik Pratama Nusa Medika Ajung

RS. Siloam Jember
(503/A.1/0190DU/35.09.325/2018)
Jl. Karang Setra No. 24 Jember
(440/77.DU/414/2016)
Jl. Srikoyo No. 88 Patrang Jember
(440/243.DU/414/2016)
Jl. Semboro Desa Paleran Umbulsari
(503/A.1/0191DU/35.09.325/2018)
Jl. Bedadung No. 1 Jember
(440/195.DU/414/2015)
Klinik Kecantikan ''TETA DERMA ESTETIKA"
(503/A.1/0208DU/35.09.325/2018)
Klinik Rawat Inap dr. M. Suherman

(440/186.DU/414/2015)
Klinik Graha Medika
(503/A.1/0213DU/35.09.325/2018
Puskesmas Kasiyan
(503/A.1/0136DU/35.09.325/2018)
Jl. Mastrip No. 69 B Jember
(503/A.1/254DU/35.09.325/2017)
Jl. Letjen Panjaitan No. 16 Jember
(440/339.DU/414/2016)
RS. Citra Husada Jember
(440/230.DU/414/2016)
Puskesmas Sukowono Jember

(440/19.DU/414/2015)
RSD. Kalisat Jember (440/289.DU/414/2015)

(440/405/414/2014)
RSD. Dr. Soebandi Jember
RS.Perkebunan PT. Nusantara Medika Utama

(440/357.DU/414/2016)
Jl. Madura III No. 1 Jember
(440/354.DU/414/2016)
-

(503/A.1/0112DU/35.09.325/2018)
(503/A.1/0211DU/35.09.325/2018)
Klinik Pratama Rawat Jalan Kimia Farma
(440/63.DU/414/2016)
RS. Citra Husada
(503/A.1/0067DU/35.09.325/2018)
Jl. Mastrip No. 164 Jember (440/078/414/2011)
Sumberan RT. 002 RW. 025 Ambulu Jember

(440/132.DU/414/2016)
(503/A.1/255DU/35.09.325/2017)
Klinik Pratama Rawat Jalan Arjuna
(440/120.DU/414/2016)
(503/A.1/0226DU/35.09.325/2018)
RS. Bina Sehat

UPT. Pelayanan Kesehatan UNEJ
(440/15.DU/414/2016)
Jl. Kotta Blater Dsn Jatirejo RT. 02 RW. 04
Tempurejo (503/A.1/0140DU/35.09.325/2018)
RSD. Balung Jember
(503/A.1/0116DU/35.09.325/2018)
Jl. Karimata No. 50 Jember
(503/A.1/0001DU/35.09.325/2018)
Perum Renes No. 16 Ambulu
Jl. PB. Sudirman No. 186 Tanggul

(440/96.DU/414/2016)
Laboratorium Klinik Pratama Sehat Bahagia

(440/06.DU/414/2016)

(440/147.DU/414/2015)
RSU. Kaliwates Jember
(503/A.1/0199DU/35.09.325/2018)

(503/A.1/209DU/35.09.325/2017)
Klinik Pratama Rolas Medika
(440/09.DU/414/2016)
Klinik Pratama Rawat Inap Sahaduta Ruko
Tanggul Square 12 - 15 Tanggul
(440/340.DU/414/2016)
-
Puskesmas Wuluhan Jember Jl.
Kartini No. 4 Wuluhan (440/70/DU/414/2015)
Klinik ERHA
RSD. Dr. Soebandi (440/172.DU/414/2016)
RS. Siloam Jember

(503/A.1/0039DU/35.09.325.2018)
Klinik Pratama Rawat Jalan Kalisat Husada
Jember
(440/547/414/2014)
RS. TK. III Baladhika Husada (DKT)
(440/156.DU/414/2016)
RSD. Dr. Soebandi (440/162.DU/414/2016)

Jl. Bandeng No. 34 Sukorambi Jember
(440/351.DU/414/2016)
Puskesmas Umbulsari Jember
RSD. Kalisat Jember

(503/A.1/174DU/35.09.325/2017)
Klinik Pratama Medika Mulia Jember Jl. Sriwijaya

XVII No. 1 Jember (440/015/414/2013)
Jl.Seco RT.001 RW.006 Puger Wetan

(503/A.1/169DU/35.09.325/2017)
RS. Citra Husada

(503/A.1/110DU/35.09.325/2017)
Puskesmas Pakusari
(503/A.1/0119DU/35.09.325/2018)
RS. Citra Husada
Klinik Dokterku Jayanegara
Puskesmas Panti Jember (440/203.DU/414/2016)

(440/100.DU/414/2015)
-
RS. Utama Husada Ambulu

(440/24.DU/414/2016)
Jl. Kaliurang Gg Swadaya No.3 Jember
(440217/414/2013)
-
Jl. Branjangan RT VIII RW II Slawu Gebang
Jember (503/A.1/186DU/35.09.325/2017)
-
Perum Istana Tegal Besar Kav Y-4 Cluster

Singosari (503/A.1/0205DU/35.09.325/2018)
Klinik Pratama Rawat Inap Dokterku Taman
Gading (440.200.DU/414/2015)
Dsn Krajan C RT. 001 RW. 021 Wonorejo

Kencong (440/141.DU/414/2016)
Desa Yosorati Sumberbaru (440/611/414/2014)
Jl. A. Yani No.43 Jenggawah Jember

(503/A.1/0010DU/35.09.325/2018)
Klinik Pratama Rawat Inap Indonesia Sehat
(440/82.DU/414/2015)
Puskesmas Jombang Jember
(440/81.DU/414/2016)
Jl. Sriwijaya Gg XX No. 5 Jember
UTD. PMI Kab. Jember
(503/A.1/120DU/35.09.325/2017)
-
RS. Citra Husada

(503/A.1/127DU/35.09.325/2017)
Jl. Danau Toba No. 29B Tegalgede
Jl. Jawa No. 28 Jember
BP.PT.Kereta Api DAOP IX Jember Jl. Wijaya

Kusuma 15 Jember (445/028/414/2012)
Klinik Pratawa Rawat Jalan Camar Mandiri

(440/493/414/2014)
Jl. Otista No. 35 Jember

(440/201.DU/414/2016)
Jl. Srikoyo No. 88 Patrang Jember
(440/57.DU/414/2016)
Klinik Slamet Sejahtera Jl. PB. Sudirman No. 113
Tanggul Jember (440/22.DU/414/2015)
Jl. Trunojoyo No. 99 Jember
(440/03.DU/414/2017)
Semboro Pasar RT. 002 RW. 003 Semboro
(503/A.1/123DU/35.09.325/2017)
Jl. Kalimantan No.66 Jember
(440/138.DU/414/2016)
Puskesmas Kasiyan (440/317.DU/414/2016)
Jl. Manggar No. 5 Jember (440/055/414/2011)

RS. Utama Husada Ambulu
(440/296.DU/414/2016)
Puskesmas Gumukmas Jember
(440/160.DU/414/2016)
Pesona Regency Blok AD-16 Patrang Jember
(440/113/414/2013)
Klinik Pratama Nusa Medika Arjasa
(503/A.1/121DU/35.09.325/2017)
RS. Paru Jember
(503/A.1/138DU/35.09.325/2017)
-
RS. Bina Sehat Jember (440/060/414/2011)
UPT. Pelayanan Kesehatan UNEJ

(503/A.1/92DU/35.09.325/2017)

(440/174.DU/414/2016)
Klinik Pratama Rawat Jalan DOKTERKU
(440/184.DU/414/2016)
Klinik Pratama Rawat Inap Harapan Mulya
(503/A.1/67DU/35.09.325/2017)
Jl. A. Yani No. 69 Puger Jember
(440/311/414/2011)
Jl. Kalimantan X / 12 Jember

(440/78.DU/414/2016)
Klinik Rawat Inap Dr. Suherman UNMUH Jember
(440/237.DU/414/2016)
RT 2 RW 3 Krajan Jombang (440/74.DU/414/216)
Apotik Karya Husada Balung

Natasha skin Care Jember Jl. PB. Sudirman No.
52 Jember
Pdk Jeruk Brt Wringin Agung No. 17 RT. 001 RW.

041 Jombang (440/153.DU/414/2016)
Jl. Sultan Agung No. 100 GumukMas Jember
(440/150.DU/414/2015)
RS. Bina Sehat Jember
(503/A.1/128DU/35.09.325/2017)
Jl. Letjen Suprapto No. 142 Jember
(440/302.DU/414/2016)
Klinik Pratama Rawat Inap DOKTERKU Taman
Gading (440/174.DU/414/2016)
Klinik Pratama Rawat Jalan Sakinah Kaliurang

(440/306.DU/414/2016)
Dsn Karang Paiton RT. 001 RW. 010 Gumuksari
Kalisat (440/224.DU/414/2016)
RSD. Balung Jember
(503/A.1/139DU/35.09.325/2017)
Klinik Madinah Jl. Ambulu 48 Tanjungrejo
Wuluhan (440/95.DU/414/2016)
Klinik Sumber Sehat Jombang
(503/A.1/170DU/35.09.325/2017)
RS. Paru (503/A.1/166DU/35.09.325/2017)
Jl. Hayam Wuruk 194 Jember
(440/26.DU/414/2016)
Perum Darma Alam Blok T4 Jember
Perum Taman Kampus I No. 11 A Jember
(440/354/414/2014)
-
RS. Siloam Jember

(503/A.1/0104DU35.09.325/2018)
UPT. Puskesmas Semboro Jember

(503/A.1/179DU/35.09.325/2017)

(440/142.DU/414/2016)
Dsn Krajan Barat RT 001 RW 001 Arjasa Jember
(440/40.DU/414/2015)
RSD. dr. Soebandi Jember (440/272/414/2013)
RSU. Kaliwates (503/A.1/258DU/35.09.325/2017)
Klinik Pratama Rawat Jalan Camar Mandiri Jl.

kartini No. 47 Jember 440/268/414/2013
-
Klinik Pratama Rawat Jalan Nusa Medika Ajung

(440/87.DU/414/2015)
Puskesmas Umbulsari Jember
(440/47.DU/414/2015)
RSD. Dr. Soebandi
Klinik Pratama Rawat Inap Graha Puger Sehat
(440/227.DU/414/2016)
Jl. Panjaitan No. 48 Jember
(440/179.DU/414/2016)
RSD. Dr. Soebandi
(503/A.1/189DU/35.09.325/2017)
Klinik Pratama Rawat Jalan Camar Mandiri
(440/86.DU/414/2015)
-
Jl. Fatahillah No 5 Jember
(440/321.DU/414/2016)
Klinik Pratama Rawat Inap Harapan Sehat
RSIA. Srikandi IBI (440/291.DU/414/2016)

Puskesmas Bangsalsari Jember
(440/220.DU/414/2016)
BP.BKIA/Panti Siwi (440/07.DU/414/2016)
Klinik Kecantikan Esther House Of Beauty
(440/207.DU/414/2016)
Puskesmas Tempurejo Jember
(440/564/414/2014)
Apotik Johar Medika Jl.
A. Yani 33/29 Jember (440/427/414/2014)
(503/A.1/91DU/35.09.325/2017)
Puskesmas Panti Jember (440/202.DU/414/2016)
RSU. Kaliwates PT. Rolas Nusantara Medika
(440/98.DU/414/2016)
RS. Citra Husada (440/285.DU/414/2016)
Jl. Dr. Soebandi No. 20 Jember
(440/86.DU/414/2016)
Klinik Pratama Rawat Jalan Nusa Medika Arjasa
(440/20.DU/414/2016)
Jl. Semeru No. 4 Jember
(503/A.1/73DU/35.09.325/2017)
RSIA. Srikandi IBI
(503/A.1/70DU/35.09.325/2017)
Jl. Kalimantan No. 11 Jember
(440/183.DU/414/2015)
Jl. Pajajaran Blok H-1 Jember
(440/259.DU/414/2016)
-
(440/85.DU/414/2016)
RSD dr. Soebandi (440/079/414/2012)
RSU. Kaliwates
Dsn Krajan Kulon RT. 02 RW. 11 Paleran

(503/A.1/0103DU/35.09.325/2018)
Jl. M. Seruji No. 61 Jember
{440/65.DU/414/2016)
London Beauty Centre Jember
(440/270/414/2013)
Jl. Urip Sumoharjo No. 5 Tanggul Jember

(440/131.DU/414/2016)
RS.Bina Sehat Jember
(503/A.1/101DU/35.09.325/2017)
RSU. Kaliwates (503/A.1/15DU/35.09.325/2017)
Personal Beauty Aesthetic

(503/A.1/0115DU/35.09.325/2018)
Puskesmas Klatakan Jember
(440/177.DU/414/2016)
Lab.Parahita Diagnostik Center Jl. A. Yani No. 83
Jember
Klinik Pratama Rawat Jalan Yonif 509/9/2 Kostrad
Tidar Sukorejo (440/61.DU/414/2016)
Pusat Layanan Kesehatan LP2M UNEJ
(503/A.1/0193DU/35.09.325/2018)
Klinik Dokterku Mitra Sehat Jl. Kawi No. 288
Jenggawah (503/A.1/0089DU/35.09.325/2018)
Jl. Kaca Piring No. 47 Jember
(440/123.DU/414/2016)
(503/A.1/206DU/35.09.325/2017)
Jl. Pahlawan 117 Tegal Waru Mayang
(440/163.DU/414/2015)
Puskesmas Sumberjambe Jember
(440/442/414/2014)
Klinik Pratama Rawat Inap Graha Medika
(503/A.1/208DU/35.09.325/2017)
Jl. Bromo I A Kalisat Jember
(440/320.DU/414/2016)
(440/143.DU/414/2015)
Jl. Mawar Karanganyar RT. 003 RW. 004 Balung
Lor (440/165.DU/414/2016)
RSD. Dr. Soebandi
(503/A.1/234DU/35.09.325/2017)
Klinik Rolas Medika
(503/A.1/0167DU/35.09.325/2018)
RSD. Dr. Soebandi
(503/A.1/164DU/35.09.325/2017)
(440/439/414/2014)
(503/A.1/195DU/35.09.325/2017)
RS. Citra Husada Jember (440/14.DU/414/2016)

Klinik Denma Brigif 9/2/ Kostrad
(440/58.DU/414/2016)
RSD. Balung Jember (440/99.DU/414/2015)
Ruko Casablanca Jl. KH. Wahid Hasyim No. 27
Jember
Jl. MH. Thamrin No. 2 Ajung Jember
(440/466/414/2014)
(503/A.1/193DU/35.09.325/2017)
Klinik Pratama Rawat Inap dr. M. Suherman
UNMUH (440/79.DU/414/2016)
Klinik Pratama Rawat Inap Madinah

(440/93.DU/414/2016)
RS. Citra Husada

(503/A.1/198DU/35.09.325/2017)
Klinik Graha Puger Sehat
Puskesmas Banjarsengon
(503/A.1/0027DU/35.09.325/2018)
RS. Paru Jember (440/02.DU/414/2015)
BP. Klinik Banjarasari

(503/A.1/136DU/35.09.325/2017)
Puskesmas Silo I (440/303.DU/414/2016)
Jl. Raya Kawi No. 127 Jenggawah

(440/70.DU/414/2016)
(440/42.DU/414/2016)
RS. Paru Jember (440/100/414/2013)
RSD. Dr. Soebandi

(503/A.1/251DU/35.09.325/2017)
Klinik Pratama Arjuna
(503/A.1/129DU/35.09.325/2017)
RS. Paru Jember

Jl. Mahoni 1 Wirolegi Jember
(440/219.DU/414/2016)
RSU. Kaliwates
(503/A.1/0004DU/35.09.325/2018)
Jl. Mastrip No. 05 Jember (440/533/414/2011)
RS. Bina Sehat Jember (440/027/414/2012)

(440/143.DU/414/2016)
Klinik Pratama Rawat Inap Harapan Bersama
Klinik Pratama Rawat Jalan Bhakti Pratama

(440/205.DU/414/2016)
Jl. Gajah Mada VI No. 1 Jember
(440/604/414/2014)
UPT . Pelayanan Kesehatan UNEJ

(440/17.DU/414/2016)
Klinik Pratama Rawat Jalan Temu Waras
(440/166.DU/414/2016)
Puskesmas Rambipuji Jember Jl. Gajah

Mada No. 191 Rambipuji Jember
(440/69.DU/414/2015)
Perum Manggar Permai A-8 Ambulu Jember
(440/48.DU/414/2016)
Puskesmas Sukorejo (440/151.DU/414/2016)
Perum Pesona Surya Milenia E - 26 Jember

(440/17.DU/414/2015)
Jl. Kaliurang Perum Permata Kampus B.3 Jember
(440/170.DU/414/2016)
Puskesmas Patrang
Klinik Pratama Camar Mandiri

(440/339/414/2014)
RS.Bina Sehat (440/005/414/2010)

Pusekesmas Lojejer Wuluhan Jember
(445/191.DU/414/2016)
Jl. PB. Sudirman 155 Tanggul Jember
(440/28.DU/414/2015)
RS. Siloam Jember
(503/A.1/0035DU/35.09.325/2018)
(440/163.DU/414/2016)
RSUD. dr. Soebandi Jember
(503/A.1/0031DU/35.09.325/2018)
RSD.dr.Soebandi Jember (440/355.DU/414/2011)
Dsn Krajan RT. 001 RW. 006 Mojomulyo Puger
Klinik Sakinah Kaliurang
Puskesmas Rambipuji Jember

(503/A.1/0166DU/35.09.325/2018)
Klinik Pratama Nusa Medika Bondoyudo
(503/A.1/141DU/35.09.325/2017)
Jl. A. Yani No. 43 Gumukmas Jember
(440/64.DU/414/2015)
Klinik PPNI Jember
Klinik Pratama Rawat Jalan Sumber Sehat

(440/193.DU/414/2016)
Puskesmas Lodokombo Jember

(440/198.DU/414/2016)
Puskesmas Jombang Jember
Klinik Rolas Medika

(503/A.1/187DU/35.09.325/2017)
(440/168.DU/414/2016)
Jl. A. Yani No. 22 Jember
(440/301/414/2011)
Jl. Bungur Gg Tugu No. 76 Patrang Jember

(440/208.DU/414/2016)
Jl. WR. Supratman III / 29 Jember

(440/157.DU/414/2016)
Puskesmas Balung
(503/A.1/0117DU/35.09.325/2018)
Puskesmas Mumbulsari Jember

(503/A.1/0201DU/35.09.325/2018)
UPT. Puskesmas Silo 2

(503/A.1/71DU/35.09.325/2017)
Jl. Sunan Kalijogo 15 Jember
(440/300.DU/414/2016)
Klinik Kecantikan ERHA Skin
(440/225.DU/414/2016)
Puskesmas Kalisat Jember
(440/22.DU/414/2016)
(440/134.DU/414/2016)
Klinik Pratama Rawat Jalan Nusa Medika
Bondoyudo (440/310.DU/414/2016)
(503/A.1/249DU/35.09.325/2017)
(503/A.1/0005DU/35.09.325/2018)
Klinik Kecantikan London Beauty Center
(440/357.DU/414/2015)
Klinik Personal Beauty
(503/A.1/191DU/35.09.325/2017)
RS. Paru Jember
(503/a.1/202du/35.09.325/2017)
-
Klinik Pratama Rawat Jalan Arjuna
(503/A.1/10DU/35.09.325/2017)
Klinik Mitra Keluarga Sejahtera
(503/A.1/88DU/35.09.325/2017)
Puskesmas Tempurejo Jember Jl. KH.ABD
Aziz No. 110 Tempurejo Jember
(440/33.DU/414/2015)
Jl. Pahlawan No. 144 Wuluhan
(440/188.DU/414/2016)
(503/A.1/177DU/35.09.325/2017)
-
RS. Paru Jember (440/272/414/2012)

Jl. A. Yani No. 43 Jenggawah Jember
(503/A.1/0021DU/35.09.325/2018)
Jl. M. Seruji No. 5 Wuluhan Jember
(440/136.DU/414/2016)
-
-
(440/282.DU/414/2016)
RS. Paru Jember (440/071/414/2012)
Puskesmas Ambulu (440/127.DU/414/2016)
Puskesmas Sabrang Ambulu

(440/461/414/2014)
PT. Rolas Nusantara Medika RSU. Kaliwates
Jember (440/77.DU/414/2015)
Jl. Gatot Subroto No. 2 Kasiyan Puger
(440/196.DU/414/2016)
Puskesmas Sumberbaru Jember
(503/A.1/0123DU/35.09.325/2018)

(503/A.1/0164DU/35.09.325/2018)
RSD. Dr. Soebandi

(503/A.1/0002DU/35.09.325/2018)
Jl. Borobudur No. 89 Jember
(503/A.1/225DU/35.09.325/2017)
Puskesmas Patrang Jember
(440/124.DU/414/2016)
Jl. Gajah Mada No. 224 Jember
(440/88.DU/414/2016)
Puskesmas Nogosari Jember
(440/12.DU/414/2015)
(440/227.DU/414/2015)
Apotek Buana Farma (440/335/414/2014)
Jl. Agus Salim 60 Ds. Ponjen Kencong Jember
(440/46.DU/414/2016)
Apotik Johar Medika Jl. A.

Yani 33/29 Jember (440/92.DU/414/2015)
Klinik Kimia Farma Jl. Gajah Mada Jember

(503/A.1/194DU/35.09.325/2017)
PKM Kemuningsari Kidul 4
Puskesmas Tembokrejo (440/36.DU/414/2016)
RSD. Dr. Soebandi

(503/A.1/237DU/35.09.325/2017)
(440/133.DU/414/2016)
Jl. Pahlawan No. 3 Mayang Jember
(440/119.DU/414/2016)
Jl. Pattimura No. 36 Kalisat Jember
(440/247/414/2012)
UPT . Pelayanan Kesehatan UNEJ
(440/35.DU/414/2016)
(440/72.DU/414/2015)
Puskesmas Balung Jember
(440/158.DU/414/2016)
Jl. Candradimuka Blok A1 Ambulu Jember
(440/364.DU/414/2016)
Puskesmas Pakusari Jember
(440/631/414/2014)
Klinik DENMA Brigif 9/2/ Kostrad
(440/02.DU/414/2016)
(503/A.1/0194DU/35.09.325/2018)
RSD. Dr. Soebandi
(503/A.1/0007DU/35.09.325/2018)
RS. Siloam Jember

(503/A.1/0033DU/35.09.325/2018)
Klinik Pratama Rawat Jalan Nusa Medika Ajung
(440/311.DU/414/2016)
Jl. Hayam Wuruk No. 209 Mangli Jember
(503/A.1/0173DU/35.09.325/2018)
RSD. Dr. Soebandi

-
RSU. Kaliwates
(503/A.1/0209DU/35.09.325/2018)
RSIA. IBI Srikandi Jember
(440/184.DU/414/2015)
Dsn Krajan RT.002 RW. 014 Ds Sabrang Kec.
Ambulu (440/215.DU/414/2016)
-
Prum. Tegal Besar Permai I / G - 16 Jember

(503/A.1/238DU/35.09.325.2017)
Klinik Pratam Rawat Jalan Sumber Sehat
(440/194.DU/414/2016)
RSIA. IBI Srikandi Jl.
KH. Agus Salim No. 47 Jember
(440/238/414/2013)
ALAMAT PRAKTEK
2
Jl. Dr. Soetomo RT. 02 RW. 09 Jombang
Jember (503/A.1/0145DU/35.09.325/2018)
Dsn Rowo Indah Ajung

(503/A.1/0106DU/35.09.325/2018)
Puskesmas Mayang Jember

(440/199.DU/414/2016)
Perum Indah Pemali Blok K No. 1 Jember
Jl. Supriyadi No. 98 Arjasa

(503/A.1/0026DU/35.09.325/2018)
-
Puskesmas Silo II Jember
(440/116.DU/414/2016)
Dsn Sumuran Kec. Ajung

(503/A.1/0091DU/35.09.325/2018)
RSIA. Srikandi IBI
(503/A.1/165DU/35.09.325/2017)
Puskesmas Kencong Jember

(503/A.1/0120DU/35.09.325/2018)
Puskesmas Kencong Jember
Klinik Rawat Inap PPNI (440/34.DU/414/2016)
Klinik Pratama Rawat Jalan BP Kebun Kotta

Blater (440/315.DU/414/2016)
Puskesmas Jelbuk (440/242.DU/414/2016)
Puskesmas Paleran Jember

(503/A.1/0155DU/35.09.325/2018)
Klinik Pratama Rawat Inap Ampel Sehat
(440/203.DU/414/2015)
RSIA. Srikandi IBI (440/187.DU/414/2015)
Puskesmas Puger Jember

(440/153.DU/414/2015)
-
Laboratorium Prosenda Jl. Letjen Suprapto
No. 115 Jember (440/338.DU/414/2016)
Jl. Brantas XXV/232 Jember (440/345/414/2014)
Rumdin Puskesmas Sukowono Jl. A. Yani No.

102 Sukowono Jember (440/20.DU/414/2015)
-
Jl. Supriyadi No. 26 D Jember
(440/126.DU/414/2016)
-
Klinik Pratama Rawat Jalan Poliklinik
Politeknik Negeri Jember
(440/129.DU/414/2015)
-
Jl. Bangka Raya No.17 Jember

(440/358.DU/414/2016)
(440/353.DU/414/2016)
-
Jl. Sunan Ampel No. 65 Jember

(503/A.1/0045DU/35.09.325/2018)
Puskesmas Karangduren
(503/A.1/0126du/35.09.325/2018)
Apotik Zora Farma (440/122.DU/414/2015)
Laboratorium Klinik Sunlab

(440/209.DU/414/2016)
Jl. Melon I/2 Patrang
(503/A.1/256DU/35.09.325/2017)
Jl. Danau Toba No. 50 Jember
(440/120.DU/414/2016)
-
-
RSIA. Srikandi IBI

(503/A.1/182DU/35.09.325/2017)
Dsn. Pertelon Desa Silo

(503/A.1/0200DU/35.09.325/2018)

(440/41.DU/414/2016)
Jl. Watu Ulo No. 63 Bedengan Ambulu

(503/A.1/0141DU/35.09.325/2018)
-
RS. Tk. III Baladhika Husada
(440/336.DU/414/2015)
Jl. Pattimura Kalisat (440/021/414/2012)
Klinik Pratama Rawat Jalan Wirasakti

(440/175.DU/414/2016)
(503/A.1/89DU/35.09.325/2017)
Jl. Semboro No. 189 Paleran Umbulsari
Jl. A. Yani No. 54 Sukowono
Jl. Kaca Piring No. 23 Jember (440/328/414/2014)
Jl. Kenitu 137 Krajan I Puger Jember

(503/A.1/0043DU/35.09.325/2018)
ERHA Klinik Jl. Trunojoyo No. 123 Jember
(440/247.DU/414/2015)
-
Klinik Pondok Sehat

(503/A.1/226DU/35.09.325/2017)
Jl. Majapahit No.7 Jember

(440/67.DU/414/2016)
(440/44.DU/414/2016)
Klinik Dokterku Mitra Sehat Jenggawah

(503/A.1/205DU/35.09.325/2017)
-
Jl. Argopuro No. 12 Desa Sukamakmur Ajung

Jember (440/23.DU/414/2016)
-
Jl. Srikoyo No. 88 Jember

(503/a.1/0204du/35.09.325/2018)
RS. Paru Jember
(503/A.1/188DU/35.09.325/2017)
-
Jl. Kawi No. 288 Langsepan Jenggawah

(440/204.DU/414/2015)
Puskesmas Tanggul Jember

(440/140.DU/414/2016)
Puskesmas Rowotengah Jember
(440/610/414/2014)
RSD. Balung (503/A.1/11977DU/35.09.325/2017)
Jl. Untung Suropati No. 50 Sukowono Jember

Jl. Candradimuka Blok A1 Ambulu Jember
(440/02.DU/414/2017)
Jl. Kenanga No. 114 B Jember
RSD. Kalisat Jember

(503/A.1/0066DU/35.09.325/2018)
Jl. Mastrip No. 69B Jember
(503/A.1/199DU/35.09.325/2017)
TETA Klinik Jember
Jl. Mawar No. 77 Jember (440/299.DU/414/2016)
Jl.Imam Bonjol 8 / 180 Jember

(440/165/414/2012)
Klinik Rawat Inap dr. M. Suherman UNMUH

Jember
(440/494/414/2014)
-
(440/180.DU/414/2015)
-
RSD. Balung Jember
(503/A.1/122DU/35.09.325/2017)
-
-
Jl. Krakatau No. 94B Kencong Jember
(440/161.DU/414/2016)
Apotik Prima Farma Jember Jl. Kalimantan
Jember (440/112/414/2013)
-
Laboratorium Klinik Sentosa

(503/A.1/0052DU/35.09.325/2018)
Klinik Pratama Rawat Inap Nurus Syifa

(440/212.DU/414/2016)
-
Jl. Raya Pantai Puger No. 3 Puger Kulon

(440/29.DU/414/2016)
Klinik Pratama Rawat Inap Medika Mulia
(440/238.DU/414/2016)
(440/229.DU/414/2016)
Jl. Letjen Suprapto IA/8 Jember
-
-
Puskesmas Gumukmas Jember
(440/149.DU/414/2015)
Klinik Pratama Rawat Jalan PMI

(503/A.1/113DU/35.09.325/2017)
(440/223.DU/414/2016)
Jl. Sultan Agung No. 100 Gumukmas
Jl. Manggar No. 109 Tegalsari Ambulu
(503/A.1/167DU/35.09.325/2017)
RSU. Kaliwates
Jl. Sunan Ampel No. 65 Jember
Jl.Gunung Argopuro RT. 01 RW. 017 Sidomekar

Semboro (503/A.1/178DU/35.09.325/2017)
RS. Citra Husada Jember (440/290.DU/414/2016)

UPT. Pelayanan Kesehatan Unej
(440/359.DU/414/2016)
-
RS. Paru Jember (440/155.DU/414/2016)
Jl. Diponegoro No. 117 Kencong Jember

(440/217.DU/414/2016)
Perum. Mojopahit Blok S.3 Jember
(440/178.DU/414/2016)
Jl. Basuki Rahmat No. 26 Jember
(503.A.1/185DU/35.09.25/2017)
-
Jl. Umbulsari No. 14 Karangduren Jember
(440/222.DU/414/2016)
RS. Siloam Jember
(503/A.1/0036DU/35.09.325/2018)
Klinik Pratama Rawat Jalan Aisyiyah
(503/A.1/116DU/35.09.325/2017)
BP. Kebun Kotta Blater PTPN XII (PERSERO)
(440/336/414/2014)
Jl. PB. Sudirman No. 42 Jember
(440/427/414/2014)
RS. Paru Jember
(503/A.1/141DU/35.09.325/2017)
Klinik Kecantikan Kartika Skin Care
(440/286.DU/414/2016)
Jl. Nusantara II/ B - 1 D Jember
(440/97.DU/414/2016)
Klinik Pratama Rawat Jalan Sakinah Kaliurang
(440/285.DU/414/2016)
-
Klinik Kecantikan J-Klin Beauty
(440/309.DU/414/2016)
RSU. Kaliwates
Puskesmas Mangli Jember
(440/134.DU/414/2015)
Jl. Dr. Sutomo No. 7 Jember
(440/260.DU/414/2016)
Jl. Wahid Hasyim No. 49B Jember
(440/287/414/2016)
-
Jl. Supriyadi no. 12 jember (440/152/414/2012)
RSD. Dr. Soebandi Jember (440/54.DU/414/2016)
Klinik Pratama Rawat Jalan Pos Kesehatan

05.10.23 (440/182.DU/414/2016)
Klinik Pratama Rawat Jalan Dokterku
(503/A.1/130DU/35.09.325/2017)
BP. Kebun Sumber Tengah

(440/157.DU/414/2015)
-
Klinik Pratama Rawat Inap Sahaduta Ruko
Tanggul Square 12 - 15 (440/33.DU/414/2016)
-
(440/60.DU/414/2016)
RSU. Kaliwates
(503/A.1/0161DU/35.09.325/2018)
-
Klinik Pratama Rawat Jalan DOKTERKU
(440/183.DU/414/2016)
Jl. A. Yani No. 42 Umbulsari
(503/A.1/207DU/35.09.325/2017)
Klinik Pratama Nurus Syifa'

(503/A.1/212DU/35.09.325/2017)
Klinik Pratama Yonif 515/9/2 Kostrad
(440/80.DU/414/2016)
(440/59.DU/414/2016)
Jl. Sriwijaya Gg. XII No. 20 Jember
(440/125.DU/414/2015)
-
Klinik Pratama Nusa Medika Ajong Jl. MH.
Thamrin No. 39 Jember (440/42.DU/414/2015)
Puskesmas Kaliwates
(503/A.1/204DU/35.09.325/2017)
-
Jl. Wolter Monginsidi Gg Manggis No. 16

Wirowongso Jember (440/92.DU/414/2016)
Jl. A. Yani No. 146 Bangsalsari

(503/A.1/227DU/35.09.325/2017)
Jl. PB.Sudirman RT.001 RW.003 Dsn Rowo

Pakusari (440/304.DU/414/2016)
Puskesmas Jenggawah Jember

(440/62.DU/414/2016)
(440/40.DU/414/2016)

(503/A.1/0028DU/35.09.325/2018)
-
RSIA. Srikandi IBI Jember
(440/301.DU/414/2016)
Jl. Dahlia No. 17 Karanganyar Ambulu

(503/A.1/111DU/35.09.325/2017)
Jl. PB. Sudirman No. 28 Sempolan

(503/A.1/119DU/35.09.325/2017)
Klinik Pratama Rawat Jalan Kebun Gunung

Gumitir (440/05.DU/414/2016)
Klinik Pratama Rawat Inap Restu Ibu

(440/47.DU/414/2016)
Rumdin Puskesmas Sukorejo
(440/150.DU/414/2016)
RS. Paru Jember (440/16.DU/414/2015)
RS. Paru Jember (440/169.DU/414/2016)
Klinik Pratama Rawat Jalan Wira Sakti
Jl. Letjen Sutoyo No. 102 Jember

(440/350/414/2014)
Klinik Dokterku Jember (440/006/414/2010)

Jl. Pahlawan No. 144 Wuluhan
(440/192.DU/414/2016)
Klinik Pratama Yonif 515/9/2 Kostrad
(503/A.1/0006DU/35.09.325/2018)
-
Puskesmas Mangli Jember
(503/A.1/0030DU/35.09.325/2018)
J- Klin Beauty Clinic Jember
Klinik Pratama Rawat Inap Dokterku Taman
Gading (440/356.DU/414/2016)
Klinik Pratama Rawat Jalan Poliklinik Politeknik

Negeri Jember
Jl. Banyuwangi No. 72 Pakusari
Dsn Krajan RT. 011 RW. 001 Lojejer Wuluhan

(503/A.1/135DU/35.09.325/2017)
Jl. Cumedak RT 1RW 11 Dsn Darungan

Lembengan Ledokombo Jember
(440/197.DU/414/2016)
Klinik Pratama Rawat Jalan Bhakti Pratama

Mayang (440/209.DU/414/2016)
RS. PTPN X (Jember Klinik) Jember
(440/229/414/2011)
Dsn Darungan RT. 002 RW. 008 Jambearum Kec.
Puger (440/171.DU/414/2016)
Jl. Kalimantan No. 145 B Balung Jember
(440/262.DU/414/2016)
Klinik Personal Beauty Jember
(503/A.1/126DU/35.09.325/2017)
-
Jl. Kalimantan No. 101 Balung Jember
(503/A.1/0170DU/35.09.325/2018)
BP. Perkebunan Mumbulsari
Perum Istana Tegal Besar Cluster Sriwijaya

B.2 Jember (503/A.1/0202DU/35.09.325/2018)
Jl. Karimata V / E- 6 Jember

(440/23.DU/414/2016)
-
Jl. Kapten P. Tendean No. 76 Jember

(503/A.1/250DU/35.09.325/2017)

(440/11.DU/414/2016)
-
Jl. Mastrip No. 69B Jember
(503/A.1/35.09.325/2017)
Jl. Sumatra No. 75B Jember
(503/A.1/203DU/35.9.325/2017)
-
Jl. Gajah Mada RT. 002 RW. 003 Rambipuji
(503/A.1/108DU/35.09.325/2017)
RS. Tk. III Baladhika Husada Jember
(440/75.DU/414/2015)
Klinik Pratama Rawat Inap Kasih Ibu Jl. A. Yani

No. 88 Jember (440/34.DU/414/2015)
Jl. Lettu Mulyadi No. 23 Puger Kulon

(440/189.DU/414/2016)
Jl. Manggar No. 8 Ambulu
(503/A.1/176DU/35.09.325/2017)
Rumah Bersalin Asyiyah Cab. Ambulu
(440/249.DU/414/2015)
-
-
Puskesmas Wuluhan Jember
(440/135.DU/414/2016)
Puskesmas Cakru Jember
(440/232.DU/414/2016)
(440293.DU/414/2016)
Jl. Kartini No. 32 Rambipuji Jember
(440/283.DU/414/2016)
Jl. Gatot Subroto 45 Jember (440/069/414/2012)
Rumdin Puskesmas Ambulu
(440/128.DU/414/2016)
-
Perum Renes Permai No. 16 Ambulu Jember
503/A.1/0029DU/35.09.325/2018)
-
(503/A.1/0113DU/35.09.325/2018)
Krajan RT 3 RW5 Rowotengah SumberBaru
(440/148.DU/414/2016)
Klinik Pratama Rawat Jalan DOKTERKU Jl.
Jayanegara No. 9 Jember
(503/A.1/0165DU/35.09.325/2018)
Jl. Sultan Agung No. 99 Arjasa

(440/240.DU/414/2016)
Perum Milenia B2 No. 3 Jember
(440/125.DU/414/2016)
Perum Bumi Mangli Permai A-7 Jember
(440/87.DU/414/2016)
Dsn Curah Kates Ajung Jember
(440/11.DU/414/2015)
Klinik Pratama Rawat Jalan Camar
(440/334/414/2014)
-
Jl. Kemuningsari No.174 Glundengan Wuluhan

(440/155.DU/414/2015)
Jl. Sriwijaya Ruko Sriwijaya Kav F Sumbersari

Jember (440/96.DU/414/2015)
Peji Talang Krg. Kedawung mumbulsari
Klinik Pratama Rawat Inap Restu Ibu

(440/37.DU/414/2016)
-
Puskesmas Sumberbaru Jember
(440/118.DU/414/2016)
(440/355/4141/2011)
-
Klinik Kecantikan Fabiola (440/68.DU/414/2016)

Dsn Karang Templek Desa Andongsari Ambulu
Jember (440/159.DU/414/2016)
Puskesmas Puger Jember
(440/363.DU/414/2016)
(440/632/414/2014)
Klinik Rawat Inap dr. M. Suherman UNMUH
Jember (440/01.DU/414/2016)
-
-

(440/361.DU/414/2015)
-
Jl. Kalimantan No. 101 Balung Jember
(440/145.DU/414/2016)
Jl. PB. Sudirman No. 113 Tanggul Jember

(440/239/414/2013)
3
Klinik Graha Puger Sehat Jember
(503/A.1/0206DU/35.09.325/2018
-
-
Jl. A. Yani No.84 Gumukmas Jember

(440/362.DU/414/2015)
RS. Paru Jember (440/167.DU/414/2016)
Klinik Pratama Rolas Medika

(440/316.DU/414/2016)
Klinik Harapan Bersama

(440/50.DU/414/2016)
Klinik Pratama Rawat Inap Medika Mulia

(440/185.DU/414/2015)
Jl. A. Yani No. 34 Puger

(440/197.DU/414/2015)
-
-
-
-
Klinik Pratma Rawat BP Kebun Banjarsari

(440/309.DU/414/2016)
Laboratorium Sahaduta Ruko Tanggul

Square 13 - 14 Tanggul (440/78.DU/414/2015)
-
Klinik Rawat Inap Madinah
(440/361.DU/414/2016)
-
-
Graha Puger Sehat Jember

(503/A.1/0042DU/35.09.325/2018)
-
RS.Tk.III Baladhika Husada

(503/A.1/168DU/35.09.325/2017)
Klinik Pratama Rawat Jalan BP Kebun

Silosanen (503/A.1/16DU/35.09.325/2017)
-
Puskesmas Banjarsengon
(503/A.1/0203du/35.09.325/2018)
-

(440/82.DU/414/2016)
Jl. Letj. Suprapto No.65 Jember

(440/298.DU/414/2016)
-
Perum Taman Kampus Blok A1/11A Kaliurang
(440/486/414/2014)
-
Klinik Sakinah Kaliurang
Jl. Imam Bonjol No. 29 Kaliwates Jember

(440/146.DU/414/2016)
-
RSD. Balung Jember
(503/A.1/125DU/35.09.325/2017)
-
-
-
(440/211.DU/414/2016)
Pertokoan Mastrip Bussines Center No. 9
Jember JL. Mastrp Jember
-
Jl. Gatot Subroto No. 3 Jember
(503/A.1/180DU/35.09.325/2017)
-
-
-
Jl. Budi Utomo No. 5 Mumbulsari Jember

(440/164.DU/414/2016)
-
Klinik Pratama Rawat Inap As-Sunniyah

(440/228.DU/414/2016)
-
RSU. Kaliwates
(503/A.1/260DU/35.09.325/2017)
-
Dsn Ranggi RT. 003 RW.011 Garahan Kec. Silo
-
Rumdin Puskesmas Bangsalsari Jember
(440/221.DU/414/2016)
-
-
-
-
(440/258.DU/414/2016)
Jl. Trunojoyo No. 56 Jember
(440/288.DU/414/2016)
-
Jl. Kh. Siddiq No. 82 Jember
(440/152/414/2012)
-
-
Jl. Hayam Wuruk No. 194 Mangli Jember

(440/70.DU/414/2016)
-
Jl. Salak No. 91 Tanggul Jember
(440/126.DU/414/2015)
-
-
-
Perum Bumi Mangli Blok A-7 Jember

(440/91.DU/414/2016)
-
Klinik Prata Rawat Inap Harapan Bersama
(440/144.DU/414/2016)

(503/A.1/112DU/35.09.325/2017)
Klinik Pratama Husada Bunda Jl.

Kamardikan Dsn Beleng No. 4 Semboro
(440/206.DU/414/2015)
Klinik Pratama Rawat Inap Madinah

(440/307.DU/414/2016)
Puri Bunga Nirwana Bintaro A-19 Jember

(440/020/414/2010)
Jl. Lettu Mulyadi No. 23 Puger Kulon Jember
(440/190.DU/414/2016)
Jl. HOS Cokroaminoto No. 27 Tanggul
(503/A.1/0198DU/35.09.325/2018)
-
-
Puskesmas Ambulu
(503/A.1/201DU/35.09.325/2017)
-
RB. Margi Rahayu Jember Jl. PB Sudirman
No. 30 Jember (440/300/414/2011)
-
-
(440/210.DU/414/2016)
Kemiringsongo Lampeji No.99 Mumbulsari
Jember
-
Klinik Diagnoistik MRI Sudirman
(440/313.DU/414/2016)
Puskesmas Jelbuk Jember

(503/A.1/105DU/35.09.325/2017)
Klinik Pratama Rawat Inap Restu Ibu Ambulu
-
-
Jl. KH. Ahmad Dahlan No. 19 Wuluhan Jember
(440/137.DU/414/2016)
Jl. Soekarno Hatta Bagorejo
Gumukmas(440/233.DU/414/2016)
Perum Villa Tegal Besar A-4 Jember
(9440/294.DU/414/2016)
-
(440/070/414/2012)
Jl. Manggar No. 57 Tegalsari Ambulu
(440/129.DU/414/2016)
-
-
RSD. Dr. Soebandi
(503/A.1/0105DU/35.09.325/2018)
Klinik Pratama Rawat Inap Kasih Ibu
(440/24.DU/414/2015)
-
-
-
RS. Siloam Jember

(503/A.1/0207DU/35.09.325/2018)

(440/04.DU/414/2015)
Jl. Soekarno Hatta RT. 001 RW. 009 Bagorejo

Gumukmas (440/38.DU/414/2016)
RSD. dr. Soebandi Jember (440/356/414/2011)
-
(440/176.DU/414/2015)
-

Jl. A. Yani No. 11 A Jember
(440/549/414/2012)
-
-
-
NO NAMA
1 dr. Abdul Gofur, SpJP
2 dr. Ach. Syaiful Ludfi, Sp.PD
3 dr. Achmad Wahib Wahju,Sp.An
4 dr. Adam Mahendra, Sp. B
5 dr. Ade Rochaeni, SpPK
6 dr. Adi Nugroho, Sp.B
7 dr. Agus Yudho Santosa, Sp.PD
8 dr. Ahmad Nuri, SpA
9 dr. Ali Santosa, Sp.PD
10 dr. Alif Mardijana, Sp.KJ
dr. Anditya Wisnuwardhana, SpAn
11 dr. Angga Mardro Raharjo, SpP
12 dr. Andreas Andrianto, Sp.B

13 dr. Allen Santoso, Sp.B
dr. Andre Kurniawan Nur Huda, Sp.B
14 dr. Andre Kusuma, Sp.BS
15 dr. Aniek Rachmawati, Sp.Rad
16 dr. Anik Sukmawati, SpP
17 dr. Arief Suseno,Sp.PD
18 dr. Arswendo Ika Murthy, SpPK
19 dr. Atika Purnama Sari, SpPD., M.Kes
20 dr. Ayu Ekamila, M.Kes,Sp.A
21 dr. Bagas Kumoro, Sp.M
22 dr. Bambang Indra H, Sp.THT
23 dr. Prof. Bambang Suhariyanto, SpKK
24 dr. Benedictus Gebyar Tri Baskoro, Sp.A
25 dr. Binar Rahma Utami, SpPK
26 dr. Budi Suwarno, Sp.U
27 dr. Budyantoro Dwi Atmono,Sp.OG

dr. Cecilia Melawati Rahmat, SpPK
28 dr. Cicih Komariah, SpM
29 dr. Dandy Hari Hartono,SpJP. FIHA
dr. Danny Irawan Winoto, Sp.An
30 dr. Dedhi Subandriyo, SpAn
31 dr. Didiek Prihadiono, Sp.S
32 dr. Dita Diana Parti, Sp. OG
33 dr. Djoko Kuntoro,SpTHT-KL
34 dr. Duriyanto Oesman, Sp.B
35 dr. Dwi Ariyanti, SpJP-FIHA
36 dr. Eddy Ario Koentjoro,Sp.S
37 dr. Edi Nurtjahja, Sp.P
38 dr. Elfan Moeljono, SpJP
39 dr. Endang Ma'ruf Randi, Sp.OG
dr. Endang Septyana Ecaterina Silaen,

Sp.KFR
40 dr. Erawati Prihastiani,Sp.An
41 dr. Erfan Efendi, Sp. An
42 dr. Erwanda Fredy Purliawan, SpM
43 dr. Fahmi,Sp.OG
44 dr. Fauzana, Sp.An
45 dr. Febria Rahayuni S, Sp.Rad
46 dr. Firah Diansyah,Sp.B
dr. Firman Prayudi, Sp.S
dr. Forman Yustesy Sitinjak, Sp.KFR
47 dr. Gogot Suhariyanto,Sp.OG
48 dr. Gunawan Hostiadi, Sp.KK
49 dr. Hendra Minarto, SpKK
50 dr. Hengki Wijaya Harto, SpTHT-KL
51 dr. Heni Fatmawati, M.Kes.,Sp.Rad
52 dr. Heni Wijayanti, Sp.M
53 dr. Henry Tanojo, SpKK

54 dr. Herman Bagus Trianto, SpPD
55 dr. Hudoyo, Sp.PD
56 dr. I Gusti Gede Prawira Negara, SpAn
57 dr. I. Nyoman Semita, Sp.OT,Spine(K)
58 dr. Indra Hartawan, Sp. PD
59 dr. Iwan Dewanto, Sp.M
60 dr. Jane Eveline Caecilia T, Sp.PK
61 dr. Jane Kosasih,Sp.PA
62 dr. Jimmy Rachmat Gunawan, Sp.PA
63 dr. Justina Evy Tyaswati,Sp.KJ
64 dr. Kadek Dharma Widhiarta, Sp.OG
65 dr. Khamid Murihadi,Sp.Rad
66 dr. Komang Yunita Wiryaning P, SpS
67 dr. Laksmi Indreswati, SpB
68 dr. Lely Martha Uli, Sp. S

dr. Lily Natalia, Sp.BS
69 dr. Loedhi Ariesbianto,Sp.Rad
70 dr. Lukman Oktadianto, Sp.A
71 dr. Lutfi Zein, SpM
72 dr. M. Ali Sodikin, Sp.A
73 dr. M Arif Heriawan, Sp.B
74 dr. M. Hasan, M Kes, Sp. OT
75 dr. Maria Kwarditawati,Sp.THT
76 dr. Meiske Margareta, Sp.PA
77 dr. Melania Sasongko, Sp.KK
78 dr. Moerad,Sp.OG
79 dr. Movita Hidayati, Sp.P
80 dr. Muhamad Ujung Baehaqi, SpPD
81 dr. Nanang Hari Wibowo,Sp. OT
82 dr. Natalia Kristanti Nugrahaeni, Sp.A

dr. Netty Sukmawati, SpKK
83 dr. Nindya Shinta, SpTHT-KL
84 dr. Novan Krisno Adji, SpBS
dr. Noviani, SpGK
85 dr. Nugraha Wahyu Cahyana, Sp.M
86 dr. Ogi Bahauirini Gumilar, Sp.U
dr. Pipiet Wulandari, Sp.JP
87 dr. Primanto Bhakti Leksmana, Sp.B
88 dr. Purnohadi Utomo,Sp.B(K) Trauma
89 dr. Purwanto, Sp.P
90 dr. R. Handi Sembodo, Sp.Rad
91 dr. R. Kamilka Taufik, Sp. S. Akp
92 dr. R. Moeljadi Hadipoero, Sp. THT-KL
93 dr. R.S Hargono Sp.Rad
94 dr. Rachmat, Sp.OG
95 dr. Rahadi Nugroho, Sp.An

96 dr. Rahmah Yasinta Rangkuti, SpA
97 dr. Ramzi, M.Kes.,Sp. A
98 dr. Retna Dwi Puspitarini, SpP
99 dr. Rini Riyanti, Sp. PK
100 dr. Rini Widyastuti, Sp.THT
101 dr. Rosmarini Estri Sih H,Sp.KK
102 dr. Samsul Huda, Sp.B
103 dr. Saraswati Dewi, Sp.A
104 dr. Septa Surya Wahyudi, SpU
105 dr. Setiadi Drajad Kurniawan, SpBTKV
106 dr. Siti Nurchafida,SpAn
107 dr. Soehadi, Sp.OT
108 dr. Soewardo Tjokrodipoero,Sp.M
109 dr. Stephanus Boedi R,Sp.P
110 dr. Sugeng Budi Rahardjo, Sp.PD

111 dr. Sujono Kardis, SpKJ
112 dr. Suharman Rasjid,Sp.A
113 dr. Supangat, M.Kes.,Ph.D.,Sp.BA
114 dr. Suparimbo Soepadi,Sp.OT
115 dr. Suparno Adi Santika, Sp.An
116 dr. Supraptiningsih,Sp.S
117 dr. Suryono, Sp.JP.FIHA
118 dr. Sutihadi Sutjipto, Sp.An
119 dr. Sutikno Saputra, Sp.JP, FIHA
120 dr. Syahrul Mubarak Danar, Sp.An
121 dr. Teguh Santoso, Sp.OG
122 dr. Ulfah Elfiah, Sp.BP
123 dr. Usman Gumanti Rangkuti,Sp.S
124 dr. Vanda Mustika, SpKFR
dr. Windiarti Budi Lestari, Sp.B

125 dr. Wiwiek Andriyani, Sp.An
126 dr. Widayatik, Sp.PK
127 dr. Yonas Hadisubroto, Sp.OG
128 dr. Yuli Hermansyah,Sp.PD
129 dr. Zaki Afif, SpOG

NO NAMA
1 dr. Abdul Gofur, SpJP
2 dr. Ach. Syaiful Ludfi, Sp.PD
3 dr. Achmad Wahib Wahju,Sp.An
4 dr. Adam Mahendra, Sp. B
5 dr. Ade Rochaeni, SpPK
6 dr. Adi Nugroho, Sp.B
7 dr. Agus Yudho Santosa, Sp.PD
8 dr. Ahmad Nuri, SpA
9 dr. Ali Santosa, Sp.PD
10 dr. Alif Mardijana, Sp.KJ
11 dr. Andreas Andrianto, Sp.B
12 dr. Allen Santoso, Sp.B
13 dr. Anditya Wisnuwardhana, Sp.An
14 dr. Andre Kusuma, Sp.BS
15 dr. Aniek Rachmawati, Sp.Rad
16 dr. Anik Sukmawati, SpP

17 dr. Angga Mardro Raharjo, SpP
18 dr. Arief Suseno,Sp.PD
19 dr. Arswendo Ika Murthy, SpPK
20 dr. Atika Purnama Sari, SpPD., M.Kes
21 dr. Ayu Ekamila, M.Kes,Sp.A
22 dr. Bagas Kumoro, Sp.M
23 dr. Bambang Indra H, Sp.THT
24 dr. Prof. Bambang Suhariyanto, SpKK
25 dr. Benedictus Gebyar Tri Baskoro, Sp.A
26 dr. Binar Rahma Utami, SpPK
27 dr. Budi Suwarno, Sp.U
28 dr. Budyantoro Dwi Atmono,Sp.OG
29 dr. Cicih Komariah, SpM
30 dr. Dandy Hari Hartono,SpJP. FIHA
31 dr. Danny Irawan Winoto, Sp.An
32 dr. Dedhi Subandriyo, SpAn
33 dr. Didiek Prihadiono, Sp.S
34 dr. Dita Diana Parti, Sp. OG

35 dr. Djoko Kuntoro,SpTHT-KL
36 dr. Duriyanto Oesman, Sp.B
37 dr. Dwi Ariyanti, SpJP-FIHA
38 dr. Eddy Ario Koentjoro,Sp.S
39 dr. Edi Nurtjahja, Sp.P
40 dr. Elfan Moeljono, SpJP
41 dr. Endang Ma'ruf Randi, Sp.OG
42 dr. Endang Septyana Ecaterina Silaen, Sp.KFR
43 dr. Erawati Prihastiani,Sp.An
44 dr. Erfan Efendi, Sp. An
45 dr. Erwanda Fredy Purliawan, SpM
46 dr. Fahmi,Sp.OG
47 dr. Fauzana, Sp.An
48 dr. Febria Rahayuni S, Sp.Rad
49 dr. Firah Diansyah,Sp.B
50 dr. Firman Prayudi, Sp.S
51 dr. Forman Yustesy Sitinjak, Sp.KFR
52 dr. Gogot Suhariyanto,Sp.OG
53 dr. Gunawan Hostiadi, Sp.KK

54 dr. Hendra Minarto, SpKK
55 dr. Heni Fatmawati, M.Kes.,Sp.Rad
56 dr. Heni Wijayanti, Sp.M
57 dr. Henry Tanojo, SpKK
58 dr. Herman Bagus Trianto, SpPD
59 dr. Hudoyo, Sp.PD
60 dr. I Gusti Gede Prawira Negara, SpAn
61 dr. I. Nyoman Semita, Sp.OT,Spine(K)
62 dr. Indra Hartawan, Sp. PD
63 dr. Iwan Dewanto, Sp.M
64 dr. Jane Eveline Caecilia T, Sp.PK
65 dr. Jane Kosasih,Sp.PA
66 dr. Jimmy Rachmat Gunawan, Sp.PA
67 dr. Justina Evy Tyaswati,Sp.KJ
68 dr. Kadek Dharma Widhiarta, Sp.OG
69 dr. Khamid Murihadi,Sp.Rad
70 dr. Komang Yunita Wiryaning P, SpS

71 dr. Laksmi Indreswati, SpB
72 dr. Lely Martha Uli, Sp. S
73 dr. Loedhi Ariesbianto,Sp.Rad
74 dr. Lukman Oktadianto, Sp.A
75 dr. Lutfi Zein, SpM
76 dr. M. Ali Sodikin, Sp.A
77 dr. M Arif Heriawan, Sp.B
78 dr. M. Hasan, M Kes, Sp. OT
79 dr. Maria Kwarditawati,Sp.THT
80 dr. Meiske Margareta, Sp.PA
81 dr. Melania Sasongko, Sp.KK
82 dr. Moerad,Sp.OG
83 dr. Movita Hidayati, Sp.P
84 dr. Nanang Hari Wibowo,Sp. OT
85 dr. Natalia Kristanti Nugrahaeni, Sp.A
86 dr. Novan Krisno Adji, SpBS
87 dr. Nugraha Wahyu Cahyana, Sp.M
88 dr. Ogi Bahauirini Gumilar, Sp.U
89 dr. Pipiet Wulandari, SpJ.JP
90 dr. Primanto Bhakti Leksmana, Sp.B

91 dr. Purnohadi Utomo,Sp.B(K) Trauma
92 dr. Purwanto, Sp.P
93 dr. R. Handi Sembodo, Sp.Rad
94 dr. R. Kamilka Taufik, Sp. S. Akp
95 dr. R. Moeljadi Hadipoero, Sp. THT-KL
96 dr. R.S Hargono Sp.Rad
97 dr. Rachmat, Sp.OG
98 dr. Rahadi Nugroho, Sp.An
99 dr. Rahmah Yasinta Rangkuti, SpA
100 dr. Ramzi, M.Kes.,Sp. A
101 dr. Retna Dwi Puspitarini, SpP
102 dr. Rini Riyanti, Sp. PK
103 dr. Rini Widyastuti, Sp.THT
104 dr. Rosmarini Estri Sih H,Sp.KK
105 dr. Samsul Huda, Sp.B
106 dr. Saraswati Dewi, Sp.A
107 dr. Septa Surya Wahyudi, SpU
108 dr. Setiadi Drajad Kurniawan, SpBTKV
109 dr. Siti Nurchafida,SpAn
110 dr. Soehadi, Sp.B

111 dr. Soewardo Tjokrodipoero,Sp.M
112 dr. Stephanus Boedi R,Sp.P
113 dr. Sugeng Budi Rahardjo, Sp.PD
114 dr. Sujono Kardis, SpKJ
115 dr. Suharman Rasjid,Sp.A
116 dr. Supangat, M.Kes.,Ph.D.,Sp.BA
117 dr. Suparimbo Soepadi,Sp.OT
118 dr. Suparno Adi Santika, Sp.An
119 dr. Supraptiningsih,Sp.S
120 dr. Suryono, Sp.JP.FIHA
121 dr. Sutihadi Sutjipto, Sp.An
122 dr. Sutikno Saputra, Sp.JP, FIHA
123 dr. Syahrul Mubarak Danar, Sp.An
124 dr. Teguh Santoso, Sp.OG
125 dr. Ulfah Elfiah, Sp.BP
127 dr. Usman Gumanti Rangkuti,Sp.S
128 dr. Vanda Mustika, SpKFR
129 dr. Wiwiek Andrijani, Sp.An

130 dr. Widayatik, Sp.PK
131 dr. Yonas Hadisubroto, Sp.OG
132 dr. Yuli Hermansyah,Sp.PD
133 dr. Zaki Afif, Sp.OG

DATA SIP DOKTER SPESIALIS
IDI CABANG JEMBER TH. 2017
AL
MASA
NO. STR
BERLAKU STR 1
RSD. Kalisat Jember

35.1.1.402.3.15.042726 4/22/2020
(440/49.DS/414/2015)
RSD. Kalisat Jember

35.1.1.401.3.16.002939 6/13/2021
(440/115.DS/414/2016)
35.1.1.501.3.17.029604 8/6/2023 RSD. Dr. Soebandi Jember
RS. Paru Jember

35.1.1.101.3.14.100548 17/12/1019
(440/05.DS/414/2015)
RSD. Balung Jember
35.2.1.502.3.17.098834 2/22/2022
(503/A.1/45DS/35.09.325/2017)
RSU. Kaliwates PT. Rolas
33.1.1.101.3.16.011406 12/30/2021 Nusantara Medika
(440/84.DS/414/2016)
35.1.1.401.3.16.054834 8/16/2022
(440/142.DS/414/2016)
32.1.1.201.3.16.014796 12/12/2021
(440/65.DS/414/2016
RSD. dr. Soebandi Jember
34.1.1.401.3.16.017910 9/4/2021
(440/198.DS/414/2016)
35.2.1.601.3.16.042722 11/5/2021
(440/175.DS/414/2016)
RS. Tk.III Baladhika Husada

35.1.1.101.2.09.018435 12/9/2019
(440/637/414/2014)

35.1.1.101.3.16.033874 11/8/2021
(440/03.DS/414/2017)
RS. Siloam Jember
35.1.1.501.3.17.12164 3/20/2023
(503/A.1/0031DS/35.09.325/2018)

35.2.1.105.2.09.017268 4/10/2020
(440/30.DS/414/2015)
35.2.1.503.3.14.042991 6/18/2019 RSU. Kaliwates (440/522/414/2014)
RS. Perkebunan PT. Nusantara

35.2.1.604.3.16.020171 9/25/2021 Medika Utama
(440/161.DS/414/2016)
RSU. Kaliwates
33.1.1.604.3.18.005583 3/5/2023
(503/A.1/0037DS/35.09.325/2018)

35.1.1.401.3.17.034483 10/5/2022
(503/A.1/27DS/35.09.325/2017)
35.1.1.502.3.15.040477 10/6/2020
(440/03.DS/414/2016)
RSD. Kalisat Jember

33.2.1.401.3.15.756684 11/9/2020
(440/83.DS/414/2015)
RSD. Kalisat Jember

73.2.1.201.3.17.051105 11/14/2022
(440/195/414/2012)

35.1.1.603.3.16.018331 11/1/2021
(440/138.DS/414/2016)

34.1.1.606.3.16.014784 7/10/2021
Jember

33.1.1.602.3.16.014799 1/21/2022
(440/30.DS/414/2016)

34.1.1.201.3.16.018328 3/21/2022
(440/69.DS/414/2016)
35.2.1.502.3.15.068895 10/16/2020
(440/12.DS/414/2016)
35.1.1.106.3.16.011401 2/26/2022
(44094.DS/414/2016)

33.1.1.301.3.16.013034 9/20/2021 Medika Utama
(440/101.DS/414/2016)
RS. Kaliwates PT. Rolas Nusantara

35.2.1.603.2.14.042730 6/27/2019
Medika (440/550/414/2015)

35.1.1.402.3.16.018334 7/21/2021
(440/24.DS/414/2016)
RSU. Utama Husada

35.1.1.501.3.17.118485 5/4/2023
(503/A.1/0081DS/35.09.325/2018)
RSD. Kalisat Jember
33.1.1.501.3.15.068361 2/11/2020
(440/89.DS/414/2015)
(440/59.DS/414/2015)
RS. Perkebunan PT Nusantara

35.2.1.301.3.13.017463 9/19/2018
Medika Utama (440/301/414/2013)
(440/70.DS/414/2016)
(503/A.1/55DS/35.09.325/2017)
35.2.1.402.2.14.034302 9/12/2019
(440/561/414/2014)
35.1.1.605.3.16.018339 2/12/2022 Medika Utama
(440/207.DS/414/2016)

35.1.1.604.3.16.018335 6/10/2022
(440/108.DS/414/2016)

71.1.1.402.3.16.102580 12/5/2021 Medika Utama
(440/106.DS/414/2016)
34.1.1.301.3.16.011404 10/8/2021
(440/144.DS/414/2016)
35.2.1.608.2.18.106101 9/11/2023
(503/A.1/0066DS/35.09.325/2018)

35.2.1.501.3.16.014969 3/24/2022
(440/20.DS/414/2016)

35.1.1.501.1.08.094633 5/7/2020 Medika Utama
(503/A.1/56DS/35.09.325/2017)
35.1.1.603.3.16.078076 11/5/2021 RSD. Dr. Soebandi

35.1.1.301.3.16.011405 11/17/2021
Medika (440/63.DS/414/2016)
RS. Jember Klinik Jember
35.2.1.501.2.14.100737 10/10/2019
(440/13.DS/414/2015)
RS. Siloam Jember

35.2.1.503.3.14.064904 8/14/2019
(503/A.1/0015DS/35.09.325/2018)

35.1.1.101.3.17.017496 9/11/2022
(503/A.1/66DS/35.09.325/2017)
RS. Siloam Jember
35.1.1.605.2.18.135816 11/8/2023
(503/A.1/0078DS/35.09.325/2018)
RS. Siloam Jember
35.2.1.608.3.18.119026 4/2/2024
(503/A.1/0071DS/35.09.325/2018)
35.1.1.301.3.17.013035 5/8/2023
(440/220.DS/414/2016)
33.1.1.602.3.16.018329 5/17/2022 -
71.1.1.602.3.15.093712 9/16/2020 Medika Utama
(440/74.DS/414/2015)
33.2.1.503.3.17.042738 2/12/2022 RS. Bina Sehat Jember
RSD. Balung Jember

35.2.1.603.3.15.014052 9/25/2020
(440/76.DS/414/2015)
Jl. KH. Wahid Hasyim No. 6 Jember

13.1.1.602.3.18.099255 7/3/2023
(503/A.1/0070DS/35.09.325/2018)

35.1.1.401.2.16.114913 12/8/2021 Medika Utama
(440/02.DS/414/2017)

35.1.1.401.3.16.017913 8/28/2022
(440/202.DS/414/2016)
RS. Paru Jember

51.1.1.501.3.15.093674 3/25/2020
(440/74.DS/414/2016)
35.1.1.103.3.16.011403 6/19/2021 Medika Utama
(440/81.DS/414/2016)

35.1.1.401.3.16.042950 7/30/2022
(440/176.DS/414/2016)

35.1.1.603.2.14.014035 10/2/2019
(440/15.DS/414/2015)
35.2.1.502.3.16.011407 7/19/2022
(440/04.DS/414/2017)
51.2.1.704.3.16.003566 5/20/2021
(440/32.DS/414/2016)
Jl. Melati No. 178A Jember

35.1.1.704.3.16.003157 12/28/2021
(440/41.DS/414/2016)

35.2.1.601.3.16.013038 10/11/2021
(440/56.DS/414/2016)
35.1.1.3012.13.080543 5/18/2018 RS. Citra Husada Jember

35.1.1.503.3.16.042952 12/11/2021 Medika Utama
(440/217.DS/414/2016)

35.2.1.605.3.16.107580 6/14/2021
(440/17.DS/414/2016)
35.2.1.101.3.16.091412 9/1/2022 RSD. Balung

35.2.1.605.3.16.029087 3/25/2022
(440/170.DS/414/2016)
RSd. Dr. Soebandi Jember

35.1.1.503.3.16.0130337 4/2/2022
(440/35.DS/414/2016)

35.1.1.201.3.14.068913 10/14/2019
(440/616/414/2014)

35.1.1.603.3.16.018333 7/12/2021
(440/111.DS/414/2016)
RSD. Kalisat Jember
35.1.1.201.3.15.042734 11/13/2020
(440/87.DS/414/2015)
RSD. Balung Jember
35.1.1.101.3.16.045285 10/5/2021
(440/180.DS/414/2016)
RS. Perkebunan PT Nusantara
35.1.1.103.4.18.018714 4/11/2023
Medika Utama

33.2.1.606.3.16.014787 7/10/2021
(440/105.DS/414/2016)

51.2.1.704.3.14.019271 12/17/2019
(440/05.DS/414/2016)
Jl. Wahid Hasyim No. 6 Jember
35.2.1.1.602.3.16.007053 5/19/2016
(440/168.DS/414/2016)
35.1.1.301.3.16.045286 6/5/2022
RS. Paru Jember

35.2.1.1.604.3.16.016982 8/12/2021
(440/55.DS/414/2016)
RSUD.dr.Soebandi Jember
35.1.1.103.3.18.072187 9/28/2023
(503/A.1/0030DS/35.09.325/2018)
35.2.1.201.3.16.045287 12/26/2021 RSD. Balung Jember

35.1.1.105.3.16.107628 11/21/2021
(440/11.DS/414/2016)
34.1.1.603.3.17.077050 7/14/2023 Medika Utama
(503/A.1/77DS/35.09.325/2017)
35.2.1.106.3.14.050321 6/27/2019
(440/520/414/2014)
33.2.1.402.3.18.063803 7/20/2023
(503/A.1/0076DS/35.09.325/2018)
35.1.1.100.2.14.011089 5/23/2019
(440/519/414/2014)
35.1.1.101.3.16.028115 9/11/2021 -

35.1.1.604.3.16.042953 3/21/2022 Jember
(503/A.1/27DS/35.09.325/2017)
35.1.1.503.3.15.101601 8/12/2020
(503/A.1/49DS/35.09.325/2017
35.1.1.605.3.16.020350 6/15/2021 -
Jl. Mojopahit P-6 Jember

35.1.1.606.3.16.019932 4/25/2022
(440/13.DS/414/2016)
33.1.1.503.3.16.011090 3/31/2022
(440/209.DS/414/2016)
35.1.1.301.3.17.013036 10/10/2022 Medika Utama
(503/A.1/62DS/35.09.325/2017)
35.1.1.501.2.14.078394 10/27/2019
(440/04.DS/414/2015)
RSIA. Srikandi IBI
35.2.1.201.3.16.107591 10/11/2021
(503/A.1/10DS/35.09.325/2017)
RSUD.dr. Soebandi Jember

34.1.1.201.2.13.091465 1/9/2018
(440/365/414/2014)

35.2.1.100.3.16.002054 3/11/2022
(440/158.DS/414/2016)
RSUD. Dr. Soebandi

35.2.1.502.2.12.017408 11/9/2017
(440/324/414/2014)
35.2.1.606.3.16.020.348 2/26/2022 -

35.1.1.101.3.16.013039 12/11/2021
(440/85.DS/414/2016)

35.1.1.106.3.15.028058 7/30/2020
(440/88.DS/414/2016)
35.1.1.107.3.16.064908 9/2/2022
(440/189.DS/414/2016)
35.2.1.501.3.15.055056 2/25/2020
Medika (440/44.DS/414/2015)
Jl. Kalimantan No. 66 Jember
31.1.1.103.3.16.042954 5/9/2022
(440/45.DS/414/2016)
35.1.1.603.3.16.042948 6/8/2022 Medika Utama
(440/118.DS/414/2016)
35.1.1.604.3.16.044436 12/20/2021
(440/186.DS/414/2016)
RS. Dr. Soebandi Jember

34.1.1.401.3.16.021016 12/8/2021
(440/194.DS/414/2016)
Jl. Tidar Perum Bukit Tidar View B.6

35.1.1.601.2.16.013043 6/10/2021
Jember (440/39.DS/414/2016)

35.1.1.201.3.16.033520 7/10/2022 Medika Utama
(440/154.DS/414/2016)
RS. Dr. Soebandi Jember

35.1.1.103.3.16.011408 11/20/2021
(440/89.DS/414/2016)

35.1.1.501.2.15.105632 9/25/2020
(440/78.DS/414/2015)
34.2.1.605.3.16.018344 12/14/2021
(440/128.DS/414/2016)
RSD.dr.Soebandi Jember
35.1.1.402.3.14.047750 4/16/2019
(445/459/414/2014)
RS. Tk.III Baladhika Husada (DKT)
33.1.1.501.3.16.042949 11/8/2021
(440/205.DS/414/2016)
35.1.1.402.3.16.014785 4/13/2022 Medika Utama
(440/27.DS/414/2016)
RS. Siloam Jember
35.1.1.501.3.17.125051 5/1/2023
(503/A.1/0012DS/35.09.325/2018)
35.1.1.301.3.16.012728 9/21/2021
(440/193.DS/414/2016)

35.2.1.104.2.14.042736 1/24/2019
(440/380/414/2014)

35.1.1.605.3.16.018332 11/24/2021
(440/121.DS/414/2016)

31.2.1.608.3.18.012166 11/11/2018
Medika Utama

35.2.1.501.3.16.014967 2/7/2022
(440/18.DS/414/2016)
35.2.1.502.3.15.042973 12/17/2020 RSD. Kalisat Jember

51.1.1.301.3.13.063446 11/27/2018
(440/364/414/2014)
35.1.1.401.3.17.066554 7/11/2023 RSUD. Dr. Soebandi
RS. Perkebunan Jember Klinik
35.1.1.301.3.17.091072 4/17/2022
(503/A.1/0049DS/35.09.325/2018)
ALAMAT PRAKTEK
2 3

Nusantara Medika -
(440/60.DS/414/2015)
RS. Citra Husada Jember RS. Siloam Jember
(440/138.DS/414/016) (503/A.1/0009DS/35.09.325/2018)
RS. Paru Jember
(503/A.1/17DS/35.09.325/2017)
RS.TK.III Baladhika Husada Jember
-
(440/16.DS/414/2015)
- -
RSD. dr. Soebandi Jember RS. Bina Sehat Jember

(440/83.DS/414/2016) (440/91.DS/414/2016)
RSD. Balung Jember RS. Siloam Jember

(440/141.DS/414/2016) (503/A.1/0010DS/35.09.325/2018)
RS. Bina Sehat Jember Perum Gunung Batu Permai E-7 Jember
(440/64.DS/414/2016) (440/66.DS/414/2016)
RS. Bina Sehat Jember RSU. Kaliwates PT. Rolas Nusantara Medika
(440/197.DS/414/2016) (440/199.DS/414/2016)
- -

-
Medika Utama (440/385/414/2014)
- -

Medika Utama RS. Paru Jember (440/73.DS/414/2016)
(440/29.DS/414/2015)
RS. Paru Jember RSD.Dr. Soebandi Jember
(440/521/414/2014) (440/84.DS/414/2015)
RS. Paru Jember

-
(440/152.DS/414/2016)
RSD. Dr. Soebandi RS. Perkebunan PT. Nusantara Medika
(503/A.1/0036DS/35.09.325/2018) Utama (503/A.1/0035DS/35.09.325/2018)

-
(503/A.1/78DS/35.09.325/2017)
RSD. Dr. Soebandi Jember RS. Tk. III Baladhika Husada
(440/01.DS/414/2016) (440/182.DS/414/2016)
RS. Perkebunan PT. Nusantara Medika
Nusantara Medika
Utama (440/160.DS/414/2016)
(440/85.DS/414/2015)
RS. Perkebunan PT. Nusantara RS. Tk. III Baladhika Husada Jember
Medika Utama (440/086/414/2012) (440/27.DS/414/2015)

Nusantara Medika
(440/139.DS/414/2016)
(440140.DS/414/2016)
RS. Bina Sehat Jember Jl. Moh Seruji No. 70 Jember
(440/80.DS/414/2016) (440/79.DS/414/2016)
Medika Utama -
(440/29.DS/414/2016)
Apotik Kimia Farma
Jl. Letjen Suprapto No.
(440/67.DS/414/2016)
76 Jember (440/67.DS/414/2016)
-
Nusantara Medika
Nusantara Medika
Utama (440/95.DS/414/2016)
(440/96.DS/414/2016)
Nusantara Medika -
(440/102.DS/414/2016)
RS. Paru Jember

-
(440/30.DS/414/2016)

Medika Utama
(440/22.DS/414/2016)
(440/23.DS/414/2016)

RSIA. Srikandi IBI (440/90.DS/414/2015)
(440/92.DS/414/2015)
- -
RSD. Dr. Soebandi Jember RS. Tk. III Baladhika Husada Jember
(440/285/414/2013) (440/286/414/2013)
Apotik Kimia Farma No. 62 Jember
Medika Utama
(440/71.DS/414/2016)
(440/72.DS/414/2016)

-
(440/82.DS/414/2016)
RS. Bina Sehat Jember RS. Tk. III Baladhika Husada Jember
(440/626/414/2014) (440/73.DS/414/2015)
RS. Bina Sehat Jember Jl. Bondoyudo No 4 Jember

(440/206.DS/414/2016) (440/208.DS/414/2016)

Jl. Basuki Rahmat No. 206 Jember
Medika Utama
(440/109.DS/414/2016)
(440/107.DS/414/2016)
RB. Margi Rahayu RSU. Kaliwates PT. Rolas Nusantara Medika

(440/218.DS/414/2016) (440/145.DS/414/2016)
RS. Siloam Jember
(503/A.1/0068DS/35.09.325/2018)
Nusantara Medika -
(440/21.DS/414/2016)
RSD. Balung Jember RS. Bina Sehat Jember

(440/120.DS/414/2016) (440/57.DS/414/2015)
RS. Siloam Jember

Apotek Kimia Farma
(503/A.1/0052DS/35.09.325/2018
RS. Bina Sehat Jember Apotik Kimia Farma Jl. Letjen Suprapto No.
(440/62.DS/414/2016) 76 Jember (440/48.DS/414/2016)
- -
RS. Tk. III Baladhika Husada RSD. Dr. Soebandi Jember

Jember (440/31.DS/414/2015) (503/A.1/0015DS/35.09.325/2018)

RSD. Kalisat Jember
Medika Utama
(503/A.1/65DS/35.09.325/2017)
(503/A.1/64DS/35.09.325/2017)
RS. Bina Sehat Jember RS. Perkebunan PT. Nusantara Medika

(440/214.DS/414/2016) Utama (440/221.DS/414/2016)
Jl. PB. Sudirman No. 56 Jember RS. Perkebunan PT. Nusantara Medika
(440/98.DS/414/2016) Utama (440/98.DS/414/2016)
Apotik Johar Medika Jember RSD. Dr. Soebandi Jember
(440/75.DS/414/2015) (440/86.DS/414/2015)
RS. Siloam Jember

-
(503/A.1/0017DS/35.09.325/2018)
RS Tk. III Baladhika Husada
Husada Jember -
(440/77.DS/414/2015)
- -
RSD. Balung
-
(503/A.1/35DS/35.09.325/2017)

Medika Utama
(440/200.DS/414/2016)
(440/201.DS/414/2016)
RS. Citra Husada Jember RSU. Kaliwates PT. Rolas Nusantara Medika
(440/71.DS/414/2015) (440/81.DS/414/2015)
RSU. Kaliwates Jember RSD. Dr. Soebandi Jember

(440/92.DS/414/2016) (440/93.DS/414/2016)

Medika Utama RS. Paru Jember (440/177.DS/414/2016)
(440/178.DS/414/2016)
Jl. Moh Seruji No. 74 Jember RSD. dr. Soebandi Jember
(440/14.DS/414/2015) (440/08.DS/414/2015)
Laboaratorium Parahita Diagnostik -
Jember
RS. Bina Sehat Jember Jl. Nusantara Blok G-14 Jember
(440/33.DS/414/2016) (440/34.DS/414/2016)
Medika Utama
(440/42.DS/414/2016)
(440/40.DS/414/2016)
Medika Utama
(440/57.DS/414/2016)
(44058.DS/414/2016)
RS. Tk. III Baladhika Husada Apotik Kimia Farma
RS. Tk. III Baladhika Husada Laboratorium Parahita Jember

(440/216.DS/414/2016) (503/A.1/36DS/35.09.325/2017)

Nusantara Medika RS. Paru Jember (440/164.DS/414/2016)
(440/136.DS/414/2016)
RS. Tk. III Baladhika Husada RSD. Dr. Soebandi
RSD. Balung Jember

-
(440/169.DS/414/2016)
Laboratorium Parahita Jember
Medika Utama
(440/37.DS/414/2016)
(440/36.DS/414/2016)
Nusantara Medika
(440/06.DS/414/2015)
(440/02.DS/414/2016)
Jl. Karimata Gg Melati No. 3 Jember RS. Perkebunan PT. Nusantara Medika
(440/110.DS/414/2016) Utama (440/111.DS/414/2016)
RSD. Dr. Soebandi Jember RS. Tk. III Baladhika Husada Jember
(440/16.DS/414/2016) (440/19.DS/414/2016)
RS. Citra Husada Jember RS. Perkebunan PT. Nusantara Medika
(440/181.DS/414/2016) Utama (440/179.DS/414/2016)
-
(503/A.1/0039DS/35.09.25/2018)
Nusantara Medika
Utama (440/104.DS/414/2016)
(440/103.DS/414/2016)
Jl. Melati No. 178 A Jember
-
(440/06.DS/414/2016)
- -

Nusantara Medika -
(440/54.DS/414/2016)
RS. Siloam Jember

-
(503/A.1/0016DS/35.09.325/2018)
- -

-
(440/11.DS/414/2016)
Jl. Ahmad Yani No. 33 Jember Jl. Kartini RT. 001 RW. 001 Wonorejo
(503/A.1/75DS/35.09.325/2018) Kencong (503/A.1/76DS/35.09.325/2017)
RSU. Kaliwates Jember RS. Perkebunan PT. Nusantar Medika

(440/33.DS/414/2015) Utama (440/72.DS/414/2015)

(440/636/414/2014)
-
Nusantara Medika Utama
(440/147.DS/414/2016)
(440/146.DS/414/2016)
Medika Utama
(440151.DS/414/2016)
(440/150.DS/414/2016)
- -
- -
- -
RS. Bina Sehat Jember RS. Perkebunan PT. Nusantara Medika
(440/210.DS/414/2016) Utama (440/212.DS/414/2016)
Jember
(503/A.1/63DS/35.09.325/2017)
(503/A.1/61DS/35.09.325/2017)
-
(440/12.DS/414/2015)
RS. Perkebunan PT. Nusantara RS. Siloam Jember
Medika Utama (503/A.1/0059DS/35.09.325/2018)
Apotik Kimia Farma Jl. PB.
RS.PT Nusantara Medika
Sudirman No. 46 Jember
(440/366/414/2014)
(440/373/414/2014)
RS. Tk. III Baladhika Husada RS. Bina Sehat Jember
Jember (440/157.DS/414/2016) (440/158.DS/414/2016)
Medika Utama
(440/376/414/2014)
(440/03.DS/414/2015)
- -
- RSU. Kaliwates Jember

Nusantara Medika
Utama (440/87.DS/414/2016)
(440/86.DS/414/2016)
RS. Paru Jember
-
(503/A.1/17DS/35.09.325/2017)
- -
RS. Paru Jember
(440/190.DS/414/2016)
- -
- -
-
(440/119.DS/414/2016)
Jl. Letjen Panjaitan No. 4 Jember RS. Tk. III Baladhika Husada Jember
(440/188.DS/414/2016) (440/187.DS/414/2016)
Medika Utama
(440/196.DS/414/2016)
(440/195.DS/414/2016)
- -

Perum Mandiri Land Blok 1 No. 21 Jember
Nusantara Medika
(440/156.DS/414/2016)
(440/155.DS/414/2016)
-
(503/A.1/0044DS/35.09.325/2018)
Medika Utama
(440/90.DS/414/2016)
(440/88.DS/414/2016)
-
(440/52.DS/414/2016)
RS. Bina Sehat Jember Jl. Moh Seruji No. 70 Jember
(440/77.DS/414/2016) (440/78.DS/414/2016)
Rs. Bina Sehat Jember RSU. Kaliwates PT. Rolas Nusantara Medika
(445/460/414/2014) (440/468/414/2014)
RSIA. IBI Srikandi Jember RS. Bina Sehat Jember
(440/203.DS/414/2016) (440/204.DS/414/2016)
Jl. Gatot Subroto No. 3 Jember
Nusantara Medika
(440/26.DS/414/2016)
(440/28.DS/414/2016)
- -
RSD. Kalisat Jember RSIA. IBI Srikandi Jember

(440/190.DS/414/2016) (440/192.DS/414/2016)

RS. Paru Jember (440/473/414/2014)
Medika Utama (440/381/414/2014)

Medika Utama
(440/122.DS/414/2016)
(440/122.DS/414/2016)
- -

Nusantara Medika -
(440/25.DS/414/2016)
Nusantara Medika Utama RS. Paru Jember (440/08.DS/414/2016)
(503/A.1/46DS/35.09.325/2017)
RS. Perkebunan PT Nusantara RSU. Kaliwates PT. Rolas Nusantara Medika
Medika (440/440/414/2014) (440/79.DS/414/2015)
RS. Citra Husada Jember RS. Bina Sehat
(503/A.1/86DS/35.09.325/2017) (503/A.1/80DS/35.09.325/2017)
RSD. Dr. Soebandi Jember RS. Citra Husada Jember
(503/A.1/0045DS/35.09.325/2018) (503/A.1/0048DS/35.09.325/2018)

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NO NAMA

1 dr. A. Albaet Nasrulloh

2 dr. A. Bawin Budiharto

4 dr. Abdul Malik

5 dr. Abdul Rouf

6 dr. Achmad Zain Wahjudi

7 dr. Adelia Handoko

8 dr. Adhika Prastya Wikananda

9 dr. Adhiningsih Yulianti

10 dr. Adi Darma Effendi

11 dr. Adi Kurniawan

12 dr. Adinda Putri Yusri Amrina

13 dr. Aditha Satria Maulana

14 dr. Adisutjipto Tedjasukmana

15 dr. Adi Subagyo

16 dr. Aditya Hudiansyah

17 dr. Adi Widjaja, SE

18 dr. Adi Wirawan

19 dr. Afi Adi Kirana

21 dr. Agung Pandu Wiantoro

22 dr. Agus Yudi Prastaji

23 dr. Agustina Yuniarti Rahayu

24 dr. Ahmad Barrun Nidhom

25 dr. Ahmad Jamil

26 dr. Ainur Rokhmah

dr. Aisyah Rahmawati

dr. Aisyiyah Alviana Agustin

dr. Aldhi Wimandra

27 dr. Alfa Rianul Setiawan

28 dr. Alfi Yudisianto

29 dr. Ali Akbar Mushan

dr. Alvin Isnaini

31 dr. Amanda Cahya Yanuartika

32 dr. Ana Silfia Margareta

dr. Anas Bakhtiar Diyansah

33 dr. Anaz Handyan

34 dr. Ancah Caesarina Novi Marchianti

36 dr. Andri Novrianto

37 dr. Andritta Febriana

38 dr. Andy Maulana Ardiansyah

39 dr. Angga Ratnafuri

40 dr. Anggind Grandika Andromeda

41 dr. Anindita Novita Damayanti

42 dr. Anindita Pramadyasiwi

43 dr. Anisa Khilda Karima

44 dr. Anita Fadhilah

45 dr. Anna Widyassari

46 dr. Any Krishnamurti

48 dr. Ardi Bayu Sutrisno

49 dr. Ariani Windaastuti

50 dr. Arif Prianggara

51 dr. Arinda Lironika Suryana

52 dr. Aris Prasetyo

53 dr. Aris Tridjoko

54 dr. Arisanty Nur Setia Restuti

dr. Audrey Soegiharto Santoso

55 dr. Arti Tyagita Kusumawardhani

56 dr. Ayu Munawaroh Aziz

57 dr. Ayunda Afdal

59 dr. Bagus Dhananing Satwikaputra

60 dr. Bambang Purwo Anggono

61 dr. Bambang Suwartono, MM

62 dr. Bambang Witarno

63 dr. Bayu Candra Cahyono