REKAP DAFTAR TENAGA KESEHATAN RSU MOHAMMAD NOER PAMEKASAN

TAHUN 2019

Status Tanggal
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi Tanggal Masa Berlaku SIP / SIK penerbitan Masa Berlaku Nama Fasyankes Ketenagaan
STR
waian
penerbitan STR STR
SIP/SIK SIP/SIK

1 19790503 200501 1 011 Laki-Laki PNS DOKTER SP PARU 3511100316033965 9/19/2018 5/3/2023 88/432.302/YANPRIM/SIP 11/8/2018 5/3/2023 RSU Mohammad Noer Tugas Belajar PPDS
dr. DAVID ALVIANTO, Sp.P D/XI/2018 Pamekasan
2 19690817 200604 2 018 Perempuan PNS DOKTER / 3521100316049040 12/20/2016 8/17/2022 79/441.302/YANPRIM/SIP 6/9/2017 8/17/2022 RSU Mohammad Noer
dr. WIWIET WIDOWATI AGUSTIANI STUKTURAL D/VI/2017 Pamekasan
3 19760407 200801 1 013 Laki-Laki PNS DOKTER / 3511100316033967 12/13/2016 4/7/2022 13/432.302/YANPRIM/SIP 2/1/2017 4/7/2022 RSU Mohammad Noer
dr. ANDY EKA BACHTIAR STUKTURAL D/II/2017 Pamekasan
4 19860703 201403 1 001 Laki-Laki PNS DOKTER SP. 3511605318118347 2/2/2018 7/3/2023 22/432.302/YANPRIM/SIP 3/9/2018 7/3/2023 RSU Mohammad Noer
dr. ERDI KHALIDA PUTRA SARAF D/III/2018 Pamekasan
5 19890415 201403 2 001 Perempuan PNS DOKTER 3521100114139423 2/7/2014 09/423.301/REGDIT/SIPD/I 3/18/2015 RSU Mohammad Noer Tugas Belajar PPDS
dr. APRILIA ROMDIYANA II/2015 Pamekasan
6 19831004 201412 1 001 Laki-Laki PNS DOKTER SP PARU 3511100215112365 7/31/2019 10/4/2024 85/432.302/YANPRIM/SIP 8/6/2019 10/4/2024 RSU Mohammad Noer Tugas Belajar PPDS
dr. MOKHAMMAD MUKHLIS, Sp.P D/VIII/2019 Pamekasan
7 19850820 201412 1 002 Laki-Laki PNS DOKTER 3511100216120880 2/18/2016 40/432.301/REGDIT/SIPD/I 9/13/2016 RSU Mohammad Noer Tugas Belajar PPDS
dr. R. MUH. ZULFAN JAUHARI X/2016 Pamekasan
8 19830827 201412 2 001 Perempuan PNS DOKTER 3521605315093761 5/5/2015 5/5/2020 66/432.301/REGDIT/SIPD/ 12/28/2015 5/5/2020 RSU Mohammad Noer
dr. DIAN PUSPITARINI, Sp.S XII/2015 Pamekasan
9 19860210 201412 1 001 Laki-Laki PNS DOKTER 3511100112135330 10/1/2012 108.1/432.301/REGDIT/SIP 2/26/2013 RSU Mohammad Noer Tugas Belajar PPDS
dr. MOHAMMAD HUSNI THAMRIN D/II/2013 Pamekasan
10 19880604 201503 1 003 Laki-Laki PNS DOKTER 3511100113146658 11/27/2013 35/432.301/REGDIT/SIPD/ 3/18/2015 RSU Mohammad Noer Tugas Belajar PPDS
dr. RADHITIYA FARIZKY DETA JUNIAWAN V/2015 Pamekasan
11 198403252019031003 dr Franky Ardhana Kawilarang, M.Biomed., Laki-Laki PNS DOKTER SP. 51.1.1.301.3.16.108186 3/28/2016 3/25/2021 20/432.301/REGDIT/SIPD/ 5/4/2016 3/25/2021 RSU Mohammad Noer
SPOG OBGYN V/2016 Pamekasan
12 199205212019032019 Perempuan PNS DOKTER 33.2.1.100.1.17.174433 10/19/2017 5/21/2023 21/432.302/YANPRIM/SIP 3/9/2018 5/21/2023 RSU Mohammad Noer
dr. Syifa Marhattya Rizky D/III/2018 Pamekasan
13 199205212019032018 Perempuan PNS DOKTER 33.2.1.100.1.18.185918 11/26/2018 5/21/2024 55/432.302/YANPRIM/SIP 5/14/2019 5/21/2024 RSU Mohammad Noer
dr. Indah Purnama Sari D/V/2019 Pamekasan
14 102.6-11051983- Laki-Laki BLUD non DOKTER SP. 35.1.1.101.2.15.102679 4/21/2015 4/21/2020 15/432.302/YANPRIM/SIP 2/13/2018 4/21/2020 RSU Mohammad Noer
012018-9612 dr. Angga Notosusanto Mukti, Sp.B PNS BEDAH D/II/2018 Pamekasan
15 102.6-12051989- Perempuan BLUD non DOKTER 3521100117169390 3/22/2017 5/12/2022 85/432.302/YANPRIM/SIP 5/12/2017 5/12/2022 RSU Mohammad Noer
102017-9254 dr. Zakiyah Zulfa PNS D/V/2017 Pamekasan
16 102.6-03121982- Laki-Laki BLUD non DOKTER 3511100117192665 12/11/2017 12/3/2023 40/432.302/YANPRIM/SIP 4/3/2018 12/3/2023 RSU Mohammad Noer
012018-9608 dr. Deddy Fransieska PNS D/IV/2018 Pamekasan
17 102.6-02031989- Perempuan BLUD non DOKTER 35.2.1.100.1.16.156709 7/12/2016 3/2/2022 82/432.302/YANPRIM/SIP 10/11/2018 3/2/2022 RSU Mohammad Noer
092018-0503 dr. Istianah Sakdullah PNS D/X/2018 Pamekasan
18 102.6-06061981- Laki-Laki BLUD non DOKTER SP 32.1.1.301.2.16.097842 11/8/2016 6/6/2022 32/432.302/YANPRIM/SIP 3/27/2019 6/6/2022 RSU Mohammad Noer
052019-3425 dr. Mochammad Rizal, Sp.OG. PNS OBGYN D/III/2019 Pamekasan
19 102.6-03071970- Laki-Laki BLUD non DOKTER 35.1.1.100.2.18.1464 12/5/2018 7/3/2023 72/432.302/YANPRIM/SIP 7/1/2019 7/3/2023 RSU Mohammad Noer
052019-4092 dr. Tri Susandhi Juliarto, M.Kes PNS 15 D/VII/2019 Pamekasan
20 102.6-07091991- Perempuan BLUD non DOKTER 35.2.1.100.1.19.186961 1/2/2019 9/7/2024 45/432.302/YANPRIM/SIP 4/24/2019 9/7/2024 RSU Mohammad Noer
052019-5548 dr. Anisatul Mannunah PNS D/IV/2019 Pamekasan
21 198810012019032010 Perempuan PNS DOKTER GIGI 35.2.2.100.2.18.140150 4/1/2018 10/1/2023 06/432.302/YANPRIM/SIP 5/17/2019 10/1/2023 RSU Mohammad Noer
drg. Fitriyah Okta Lutfiyana DG/V/2019 Pamekasan
22 19860101 201403 2 001 Perempuan PNS APOTEKER 19860101/STRA- 12/31/2015 1/1/2020 1960101/SIPA- 6/29/2016 1/1/2021 RSU Mohammad Noer
ULVA ROSYANA, S.Farm.Apt UNAIR/2010/222370 35.28/2016/2007 Pamekasan
23 199310302019032014 Perempuan PNS APOTEKER 19931030/STRA- 9/14/2016 10/30/2021 RSU Mohammad Noer CPNS proses SIK
Ani Putri Ayu Setyawati, S.Farm., Apt. UNAIR/2016/24618 Pamekasan
24 199503172019032019 Perempuan PNS APOTEKER 19950317/STRA- 9/10/2018 3/17/2023 RSU Mohammad Noer CPNS proses SIK
Noviyatul Fitriyah, S.Farm., Apt. UMM/2018/255315 Pamekasan
25 102.6-12041986- Perempuan BLUD non APOTEKER 19860412/STRA- 7/5/2017 4/12/2022 19860412/SIPA- 6/29/2016 4/12/2021 RSU Mohammad Noer
012016-7856 Raden Sugesti Handayani, Apt. PNS UNAIR/2012/225581 35.28/2016/2 008 Pamekasan
26 19890627 201403 1 001 Laki-Laki PNS ASISTEN P2T/3186/03.06/02/V/2 05/05/2017 6/27/2022 19890627/SIKTTK.35.28/2 19/05/2017 6/27/2022 RSU Mohammad Noer
ABDI SHODAQ APOTEKER 017 017/1 016 Pamekasan
PEMULA
27 102.6-03031986- Perempuan BLUD non ASISTEN P2T/840/03.06/02/III/20 3/2/2017 3/3/2022 19860303/SIKTTK- 4/19/2013 RSU Mohammad Noer
012015-0434 Zilfiya Irninda Ghozali PNS APOTEKER 17 35.28/2013/2 003 Pamekasan
28 102.6-29051992- Perempuan BLUD non ASISTEN PP2T/613/03.06/02/IV/ 4/5/2019 5/29/2024 19920529/SIKTTK- 5/8/2019 5/29/2024 RSU Mohammad Noer
012016-7862 Faizatul Mukarromah, Amd. Farm PNS APOTEKER 2019 35.28/2016/2 011 Pamekasan
29 102.6-12041996- Laki-Laki BLUD non ASISTEN P2T/6891/03.06/01/X/2 10/5/2017 4/12/2022 RSU Mohammad Noer Proses SIK
052019-3133 Ferdika David, A.Md.Farm PNS APOTEKER 017 Pamekasan
30 102.6-22071996- Perempuan BLUD non ASISTEN P2T/102/03.06/01/I/201 2/26/2015 7/22/2020 RSU Mohammad Noer Proses SIK
052019-347 Suhendra Puspita Sari, A.Md.Farm PNS APOTEKER 5 Pamekasan
31 19660604 199803 1 005 Laki-Laki PNS RADIOGRAFER P2T/49/03.08/01/III/201 3/19/2015 6/4/2020 04/432.301/REGDIT/SIK.R 3/1/2015 6/4/2020 RSU Mohammad Noer
SAKUR, AMd.Rad MAHIR 5 AD/III/2015 Pamekasan
32 199402072019031010 Laki-Laki PNS RADIOGRAFER P2T/160/03.08/01/IX/20 9/1/2015 2/7/2020 02/432.301/REGDIT/SIK- 11/1/2016 2/7/2020 RSU Mohammad Noer CPNS proses SIK
Elde Alifi Subhan Syadad, Amd.Rad 15 RAD/XI/2016 Pamekasan
33 199212242019031012 Laki-Laki PNS RADIOGRAFER 16 07 5 1 1 18-1564776 6/23/2018 12/24/2023 RSU Mohammad Noer CPNS proses SIK
M. Haris, A.Md.Rad Pamekasan
34 102.6-23031988- Perempuan BLUD non P2T/24/03.08/02/V/201 5/3/2017 3/23/2022 RSU Mohammad Noer
012015-0399 Nur Aini, Amr PNS RADIOGRAFER 7 Pamekasan
35 102.6-04071994- Laki-Laki BLUD non RADIOGRAFER P2T/22/03.08/01/II/201 2/9/2016 7/4/2021 RSU Mohammad Noer
052019-3084 Faizal Tri Yulianto, A.Md.Rad PNS 6 Pamekasan
36 19930124 201903 2 012 Perempuan PNS FISIOTERAPIS P2T/32/03.04/02/II/201 2/28/2019 1/24/2024 02/4322.302/YANPRIM/SI 6/18/2019 1/24/2024 RSU Mohammad Noer
Nur Kholifah, A.Md.Ft 9 PF/VI/2019 Pamekasan
37 19921212 201903 1 010 Laki-Laki PNS FISIOTERAPIS P2T/37/03.04/02/III/201 3/14/2019 12/12/2024 RSU Mohammad Noer
ANDHIKA BANI PUTRA 9 Pamekasan
38 19870206 201101 2 012 Perempuan PNS PRANATA P2T/240/03.14/02/II/20 2/13/2017 2/6/2022 32/432.301/YANPRIM/SIPA 12/11/2017 2/6/2022 RSU Mohammad Noer
FITA WIDAYATI, A.Md.AK LABORATORIUM 17 TLM/XI/2017 Pamekasan
KESEHATAN
39 102.6-20041983- Perempuan BLUD non PRANATA P2T/418/03.14/02/V/20 5/4/2017 4/20/2022 11/432.301/REGDIT/SIPATL 11/3/2016 4/20/2017 RSU Mohammad Noer
012015-0393 SUSWALINDA, Amak PNS LABORATORIUM 17 M/XI/2016 Pamekasan
KESEHATAN
40 102.6-06111992- Perempuan BLUD non PRANATA P2T/74/03.14/01/I/2015 1/27/2015 11/6/2020 14/432.301/REGDIT/SIPATL 11/28/2016 11/6/2020 RSU Mohammad Noer
012016-7863 Rusliyana, Amd.AK PNS LABORATORIUM M/XI/2016 Pamekasan
KESEHATAN
41 102.6-02101993- Perempuan BLUD non PRANATA P2T/275/03.14/01/V/20 5/15/2015 10/2/2020 RSU Mohammad Noer Proses SIK
052019-2965 Immi Kamilatinnisa', A.Md. AK PNS LABORATORIUM 15 Pamekasan
KESEHATAN
42 102.6-01091990- Perempuan BLUD non NUTRISIONIS 16 09 5 2 1 18-2197272 1/2/2018 9/1/2023 09.10/432.301/YANPRIM/ 9/21/2018 9/1/2023 RSU Mohammad Noer
012015-0411 Lutfi Rindawati, Amd.Gz PNS SIKTGz/IX/2018 Pamekasan
43 102.6-27011996- Laki-laki BLUD non NUTRISIONIS P2T/290/03.10/01/IX/20 9/10/2018 1/27/2023 RSU Mohammad Noer
102018-1153 M. Firdiansyah Dio Saputra, A.Md.Gz PNS 18 Pamekasan
44 19710118 199503 2 003 Perempuan PNS PERAWAT AHLI P2T/9960/03.02/01/XI/2 11/27/2013 1/18/2023 8.79/432.301/REGDIT/SIKP 2/26/2014 1/18/2023 RSU Mohammad Noer
DINAWATI, S.Kep.,NS MUDA 013 /II/2014 Pamekasan
45 19731004 199703 1 003 Laki-Laki PNS PERAWAT MAHIR P2T/3401/03.02/02/II/2 2/27/2014 10/4/2019 10.50/432.301/REGDIT/SIK 11/28/2016 10/4/2019 RSU Mohammad Noer
MOHAMMAD KASIH 014 P/XI/2016 Pamekasan
46 19800913 200801 2 016 Perempuan PNS PERAWAT AHLI P2T/9962/03.02/01/XI/2 11/27/2013 9/13/2023 12.57/432.301/REGDIT/SIK 10/22/2014 9/13/2023 RSU Mohammad Noer
SRI HARTATIK HANDAYANI, S.Kep.,Ns PERTAMA 013 P/X/2014 Pamekasan
 Status Tanggal Masa Berlaku
Tanggal Masa Berlaku
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi STR SIP / SIK penerbitan Nama Fasyankes Ketenagaan
penerbitan STR STR SIP/SIK
waian SIP/SIK
47 19810726 201001 1 012 Laki-Laki PNS PERAWAT 16 01 7 1 1 19-2438699 2/19/2019 6/26/2024 08.189/432.302/YANPRIM 8/6/2019 6/26/2024 RSU Mohammad Noer
ERWIEN FARDIANTO, Amd.Kep TERAMPIL /SIKP/VIII/2019 Pamekasan
48 19870401 201101 1 014 Laki-Laki PNS PERAWAT P2T/4/03.02/02/I/2015 1/2/2015 4/1/2020 04.03/432.301/REGDIT/SIK 5/19/2015 4/1/2020 RSU Mohammad Noer
HENDRA LUTFIADI, Amd.Kep TERAMPIL P/V/2015 Pamekasan
49 19850707 201403 1 001 Laki-Laki PNS PERAWAT P2T/7356/03.02/01/IX/2 9/23/2013 7/7/2023 02.68/432.301/REGDIT/SIK 3/25/2015 7/7/2023 RSU Mohammad Noer
ABDUL ANAM, Amd.Kep TERAMPIL 013 P/III/2015 Pamekasan
50 19900222 201403 1 003 Laki-Laki PNS PERAWAT P2T/2611/03.02/02/III/2 3/7/2017 2/22/2022 12.129/432.302/YANPRIM 2/26/2014 4/1/2020 RSU Mohammad Noer
DONI FEBRIYANTO, Amd.Kep TERAMPIL 017 /SIKP/XII/2017 Pamekasan
51 19780611 201412 1 002 Laki-Laki PNS PERAWAT P2T/10425/03.02/02/XII 12/12/2013 6/11/2023 11.14/432.301/REGDIT/SIK 6/9/2014 6/11/2023 RSU Mohammad Noer
ERIK SUPRIADI, Amd.Kep TERAMPIL /2013 P/VI/2014 Pamekasan
52 19800409 201412 1 003 Laki-Laki PNS PERAWAT P2T/3567/03.02/01/III/2 3/16/2015 4/9/2020 04.2/432.301/REGDIT/SIKP 5/19/2015 4/9/2020 RSU Mohammad Noer
MOH. HANAFI BUDI CAHYONO, Amd.Kep TERAMPIL 015 /V/2015 Pamekasan
53 19810828 201412 2 004 Perempuan PNS PERAWAT P2T/9959/03.02/02/XI/2 11/27/2013 8/28/2023 8.76/432.301/REGDIT/SIKP 2/28/2014 8/28/2023 RSU Mohammad Noer
AYU DEWI NINGTIAS, Amd.Kep TERAMPIL 013 /II/2014 Pamekasan
54 19810109 200801 2 008 Perempuan PNS PERAWAT P2T/5019/03.02/02/IV/2 4/4/2013 1/9/2020 8.51/432.301/REGDIT/SIKP 2/24/2014 1/9/2020 RSU Mohammad Noer
HANIS MAULANA TERAMPIL 013 /2014 Pamekasan
55 102.6-02111986- Perempuan BLUD non PERAWAT P2T/8468/03.02/02/X/2 10/30/2013 11/2/2023 8.78/432.301/REGDIT/SIKP 2/28/2014 11/2/2023 RSU Mohammad Noer
012015-0395 Sitti Amina, Amd.Kep PNS 013 /II/2014 Pamekasan
56 102.6-12121985- Perempuan BLUD non PERAWAT P2T/1000/03.02/02/I/20 1/22/2014 12/12/2019 8.77/432.301/REGDIT/SIKP 2/28/2014 12/12/2019 RSU Mohammad Noer
012015-0397 Maisaroh, Amd.Kep PNS 14 /II/2014 Pamekasan
57 102.6-02051988- Laki-Laki BLUD non PERAWAT P2T/13999/03.02/02/XI/ 11/20/2015 5/2/2020 01.06/432.301/REGDIT/SIK 1/29/2016 5/2/2020 RSU Mohammad Noer
012015-0398 Ach. Kusairi, Amd.Kep PNS 2015 P/I/2016 Pamekasan
58 102.6-04011987- Laki-Laki BLUD non PERAWAT P2T/15672/03.02/02/XII 12/7/2015 1/4/2020 07.37/432.301/REGDIT/SIK 7/20/2016 1/4/2020 RSU Mohammad Noer
012015-0400 Zainal Abrori, Amd.Kep PNS /2015 P/VII/2016 Pamekasan
59 102.6-12051990- Perempuan BLUD non PERAWAT P2T/7540/03.02/02/XI/2 11/3/2016 5/12/2021 10.43/432.301/REGDIT/SIK 11/28/2016 5/12/2021 RSU Mohammad Noer
012015-0406 Lisdiawati, Amd.Kep PNS 016 P/XI/2016 Pamekasan
60 102.6-30101989- Perempuan BLUD non PERAWAT P2T/11694/03.02/02/XI/ 11/2/2015 7/30/2020 01.07/432.301/REGDIT/SIK 1/29/2016 7/30/2020 RSU Mohammad Noer
012015-0407 Hikmatul Maulidiyah, Amd.Kep PNS 2015 P/I/2016 Pamekasan
61 102.6-10011989- Laki-Laki BLUD non PERAWAT P2T/7301/03.02/02/X/2 10/27/2016 1/10/2021 10.46/432.301/REGDIT/SIK 11/28/2016 1/10/2021 RSU Mohammad Noer
012015-0408 Akh. Azis Albar, Amd.Kep PNS 016 P/XI/2016 Pamekasan
62 102.6-12031989- Laki-Laki BLUD non PERAWAT P2T/7302/03.02/02/X/2 10/27/2016 3/12/2021 10.41/432.301/REGDIT/SIK 11/28/2016 3/12/2021 RSU Mohammad Noer
012015-0410 Mohammad Firman A, Amd.Kep PNS 016 P/XI/2016 Pamekasan
63 102.6-24031991- Perempuan BLUD non PERAWAT P2T/10746/03.02/01/XII 12/14/2012 3/24/2022 11.19/432.301/REGDIT/SIK 6/9/2014 3/24/2022 RSU Mohammad Noer
012015-0414 Robiatun, Amd.Kep PNS /2012 P/VI/2014 Pamekasan
64 102.6-22111978- Perempuan BLUD non PERAWAT P2T/3614/03.02/01/III/2 3/16/2015 11/22/2020 RSU Mohammad Noer
012015-0416 Novi Andarisasi, Amd.Kep PNS 015 Pamekasan
65 102.6-01031983- Perempuan BLUD non PERAWAT P2T/9447/03.02/02/IX/2 9/17/2015 3/1/2020 RSU Mohammad Noer
012015-0417 Ika Mery Aninda, Amd.Kep PNS 015 Pamekasan
66 102.6-01041993- Perempuan BLUD non PERAWAT P2T/8250/03.02/01/X/2 10/16/2013 8/1/2028 02.53/432.301/REGDIT/SIK 3/19/2015 8/1/2028 RSU Mohammad Noer
012015-0428 Firdaus Watun Hasanah, Amd.Kep PNS 013 P/III/2015 Pamekasan
67 102.6-11121988- Perempuan BLUD non PERAWAT P2T/1292/03.02/02/I/20 1/28/2016 12/11/2021 07.06/432.301/REGDIT/SIK 7/14/2016 12/11/2021 RSU Mohammad Noer
012015-0426 Rosita Dewi Handiyana, Amd.Kep PNS 16 P/VII/2016 Pamekasan
68 102.6-18041990- Laki-Laki BLUD non PERAWAT P2T/3577/03.02/01/IV/2 4/4/2012 4/18/2022 02.31/432.301/REGDIT/SIK 3/3/2015 4/18/2022 RSU Mohammad Noer
012015-0419 Akhmad Taufik Hidayat, Amd.Kep PNS 012 P/III/2015 Pamekasan
69 102.6-29051985- Perempuan BLUD non PERAWAT P2T/11270/03.02/02/XII 12/20/2012 5/20/2022 02.29/432.301/REGDIT/SIK 3/3/2015 5/20/2022 RSU Mohammad Noer
012015-0418 Astri Normalasari, Amd.Kep PNS /2012 P/III/2015 Pamekasan
70 102.6-04051992- Perempuan BLUD non PERAWAT P2T/8201/03.02/01/X/2 10/16/2013 7/16/2020 02.25/432.301/REGDIT/SIK 3/3/2015 7/16/2020 RSU Mohammad Noer
012015-0422 Eva Fitriyah, Amd.Kep PNS 013 P/III/2015 Pamekasan
71 102.6-20011987- Laki-Laki BLUD non PERAWAT P2T/4452/03.02/02/VI/2 6/24/2016 1/20/2021 07.43/432.301/REGDIT/SIK 7/20/2016 1/20/2021 RSU Mohammad Noer
012015-0425 Ach. Zainal Arifin, Amd.Kep PNS 016 P/VII/2016 Pamekasan
72 102.6-08071990- Perempuan BLUD non PERAWAT P2T/7303/03.02/02/02/ 10/27/2016 7/8/2021 10.44/432.301/REGDIT/SIK 11/28/2016 7/8/2021 RSU Mohammad Noer
012016-7867 Yuliastutik, Amd.Kep PNS X/2016 P/XI/2016 Pamekasan
73 102.6-11061989- Laki-Laki BLUD non PERAWAT P2T/8933/03.02/01/XI/2 11/22/2012 6/11/2022 07.40/432.301/REGDIT/SIK 7/20/2016 6/11/2022 RSU Mohammad Noer
012016-7868 Dedy Haryanto, Amd.Kep PNS 012 P/VII/2016 Pamekasan
74 102.6-28031990- Laki-Laki BLUD non PERAWAT P2T/2402/03.02/01/II0/ 2/12/2014 3/28/2024 07.29/432.301/REGDIT/SIK 7/20/2016 3/28/2019 RSU Mohammad Noer
012016-7869 Abd Hayyi, Amd.Kep PNS 2014 P/XI/2016 Pamekasan
75 102.6-27051990- Laki-Laki BLUD non PERAWAT P2T/7298/03.02/02/X/2 10/27/2016 5/27/2021 10.49/432.301/REGDIT/SIK 11/28/2016 5/27/2021 RSU Mohammad Noer
012016-7870 Iwan Feri Haryanto, Amd.Kep PNS 016 P/XI/2016 Pamekasan
76 102.6-24071988- Laki-Laki BLUD non PERAWAT P2T/7300/03.02/02/X/2 10/27/2016 7/24/2021 10.47/432.301/REGDIT/SIK 11/28/2016 7/24/2021 RSU Mohammad Noer
012016-7871 Akhmad Faiq Sutanto, Amd.Kep PNS 016 P/XI/2016 Pamekasan
77 102.6-27011992- Laki-Laki BLUD non PERAWAT P2T/9027/03.02/01/XI/2 11/22/2012 1/27/2021 07.36/432.301/REGDIT/SIK 7/20/2016 1/27/2021 RSU Mohammad Noer
012016-7872 Moch. Joko Wediarto, Amd.Kep PNS 012 P/VII/2016 Pamekasan
78 102.6-01041994- Laki-Laki BLUD non PERAWAT P2T/10601/03.02/01/X/ 10/21/2015 4/1/2020 07.28/432.301/REGDIT/SIK 7/20/2016 4/1/2020 RSU Mohammad Noer
012016-7873 Teguh Hariyanto Permadi, Amd.Kep PNS 2015 P/VII/2016 Pamekasan
79 102.6-26041989- Perempuan BLUD non PERAWAT P2T/17517/03.02/01/XII 12/31/2015 4/26/2020 07.41/432.301/REGDIT/SIK 7/20/2016 4/26/2020 RSU Mohammad Noer
012016-7874 Ririn Fitriana, Amd.Kep PNS /2015 P/VII/2016 Pamekasan
80 102.6-11081990- Laki-Laki BLUD non PERAWAT P2T/7523/03.02/02/VIII/ 8/31/2017 8/11/2022 02.38/432.302/YANPRIM/ 2/28/2018 8/11/2022 RSU Mohammad Noer
022016-7875 Karimullah, Amd.Kep PNS 2017 SIKP/II/2018 Pamekasan
81 102.6-07031995- Perempuan BLUD non PERAWAT P2T/10658/03.02/01/X/ 10/21/2015 3/7/2020 07.34/432.301/REGDIT/SIK 7/20/2016 RSU Mohammad Noer
012016-7876 Siti Qorimah, Amd.Kep PNS 2015 P/VII/2016 Pamekasan
82 102.6-21111991- Laki-Laki BLUD non PERAWAT P2T/7310/03.02/01/IX/2 9/4/2014 11/21/2019 07.42/432.301/REGDIT/SIK 7/20/2016 RSU Mohammad Noer
012016-7879 Fian Andika Novianto, Amd.Kep PNS 014 P/VII/2016 Pamekasan
83 102.6-11061992- Laki-Laki BLUD non PERAWAT P2T/10600/03.02/01/X/ 10/21/2015 6/11/2020 07.27/432.301/REGDIT/SIK 7/20/2016 6/11/2020 RSU Mohammad Noer
012016-7881 Massus, Amd.Kep PNS 2015 P/VII/2016 Pamekasan
84 102.6-02051993- Laki-Laki BLUD non PERAWAT P2T/8185/03.02/01/X/2 10/16/2013 5/2/2023 07.35/432.301/REGDIT/SIK 7/20/2016 5/2/2023 RSU Mohammad Noer
012016-7882 Zainuddin Chandra Prasetia, Amd.Kep PNS 013 P/VII/2016 Pamekasan
85 102.6-29041995- Perempuan BLUD non PERAWAT P2T/10763/03.02/01/X/ 10/22/2015 4/29/2020 07.30/432.301/REGDIT/SIK 7/20/2016 4/29/2020 RSU Mohammad Noer
012016-7883 Nur Fajri Aprelia, Amd.Kep PNS 2015 P/VII/2016 Pamekasan
86 102.6-29061981- Perempuan BLUD non Perawat P2T/2997/03.02/02/VII/ 7/17/2019 7/18/2019 115/432.302/YANPRIM/SI 7/5/2018 6/29/2019 RSU Mohammad Noer
092017-9136 Rintih Hestiati, A.Md.Kep PNS 2019 KP/VII/2018 Pamekasan
87 Petugas Kamar P2T/3252/03.02/02/II/2 RSU Mohammad Noer
19730406 199403 1 004 Halili Laki-laki PNS 2/24/2014 4/6/2019 05.14/432.301/REGDIT/SIKP 6/23/2015 4/6/2019
Gelap 014 Pamekasan
88 Perawat 10.45/432.301/REGDIT/SKI RSU Mohammad Noer
Suhartono Ariyanto, S.Kep.,Ns BLUD non 8/31/2018 5/21/2023 P/XI/2016 Pamekasan
102.6-21051988-102017-9 Laki-laki PNS 16 15 6 1 1 18-1571628 11/28/2016 5/21/2021
89 Perawat RSU Mohammad Noer
Moh. Rofii, A.Md.Kep BLUD non P2T/10470/03.02/01/X/ 10/20/2015 7/15/2020 Pamekasan
102.6-15031993-052019-3 Laki-laki PNS 2015 Proses SIK
90 Perawat RSU Mohammad Noer
Selly Dwi Oktimerdhani, A.Md.Kep BLUD non P2T/10462/03.02/01/X/ 10/20/2015 10/8/2020 Pamekasan
102.6-08101993-052019-3 Perempuan PNS 2015 Proses SIK
91 Perawat RSU Mohammad Noer
Achmad Khairil Soimin, A.Md.Kep BLUD non P2T/468/03.02/01/I/201 1/15/2018 2/15/2023 Pamekasan
102.6-15021996-052019-5 Laki-laki PNS 8 Proses SIK
92 Perawat RSU Mohammad Noer
Ainul Yaqin, A.Md.Kep BLUD non P2T/4204//03.02/02/IX/ 9/10/2018 10/15/2023 Pamekasan
102.6-15101991-052019-3 Laki-laki PNS 2018 Proses SIK
93 Perawat 08.195/432.302/YANPRIM RSU Mohammad Noer
Imam Fauzi, S.Kep, Ns BLUD non 5/6/2019 8/31/2024 /SIKP/VIII/2018 Pamekasan
102.6-21081990-052019-5 Laki-laki PNS 16 01 7 1 1 19-3029233 8/7/2019 8/31/2024
94 Perawat 08.192/432.302/YANPRIM RSU Mohammad Noer
Mulyana Adi Putra, S.Kep.Ns BLUD non P2T/9005/03.02/01/XII/ 12/1/2016 5/16/2021 /SIKP/VIII/2019 Pamekasan
102.6-16051993-052019-5 Laki-laki PNS 2016 8/7/2019 5/16/2024
 Status Tanggal Masa Berlaku
Tanggal Masa Berlaku
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi STR SIP / SIK penerbitan Nama Fasyankes Ketenagaan
penerbitan STR STR SIP/SIK
waian SIP/SIK
95 BLUD non Perawat P2T/7314/03.02/01/IX/2 RSU Mohammad Noer Proses SIK
102.6-20091993-052019-2Indah Qurrotu A'yun, A.Md.Kep Perempuan 9/4/2014 9/20/2019
PNS 014 Pamekasan
96 Perawat RSU Mohammad Noer
Saiful Anam, A.Md.Kep BLUD non P2T/10430/03.02/02/X/ 10/20/2015 3/4/2020 Pamekasan
102.6-04031988-052019-5 Laki-laki PNS 2015 Proses SIK
97 Perawat RSU Mohammad Noer
Helda Firmandani, A.Md.Kep BLUD non P2T/3035/03.02/01/III/2 3/10/2015 7/7/2020 Pamekasan
102.6-07071993-052019-3 Laki-laki PNS 015 CPNS proses SIK
98 Perawat RSU Mohammad Noer
A. Mu'in Sajad Al Farisi, A.Md.Kep. 10/8/2018 5/2/2023 Pamekasan
19930502 201903 1 009 Laki-Laki PNS 1 01 5 1 1 18-1581484
99 Perawat RSU Mohammad Noer
Dedy Kurniawan, A.Md.Kep. P2T/2927/03.02/02/VII/ 7/15/2019 5/20/2024 Pamekasan
19910520 201903 1 009 Laki-Laki PNS 2019
100 Perawat RSU Mohammad Noer
Qurratul Aini, A.Md.Kep P2T/9663/03.02/01/XII/ 12/18/2017 12/1/2022 Pamekasan
19951201 201903 2 015 Perempuan PNS 2017
101 Perawat RSU Mohammad Noer
Vetti fajri Sauli, A.Md.Kep P2T 1/5/2018 2/13/2023 Pamekasan
19960213 201903 2 013 Perempuan PNS 189/03.02/01/I/2018 CPNS proses SIK
102 Perawat RSU Mohammad Noer
Eka Agustini, A.Md.Kep. 8/31/2018 8/13/2023 Pamekasan
19930813 201903 2 024 Perempuan PNS 16 01 5 2 1 18-1569981
103 PERAWAT GIGI 06/432.302/YANPRIM/SIP RSU Mohammad Noer
Irma Maghfirah Safitri, A.Md.KG 4/6/2017 3/19/2022 DG/VI/2019 Pamekasan
19940319 201903 2 020 Perempuan PNS 16 04 5 2 1 17-2058339 6/13/2019 3/19/2022
104 102.6-15041992- Perempuan BLUD non BIDAN P2T/631/03.01/01/V/20 2/12/2014 4/15/2024 10.5/432.301/REGDIT/SIKB 10/24/2016 4/15/2019 RSU Mohammad Noer
012016-7886 Fitradiyah Aprianti, Amd.Keb PNS 19 /X/2016 Pamekasan
105 102.6-27021993- Perempuan BLUD non BIDAN P2T/4217/03.01/01/III/2 3/30/2015 2/27/2020 10.7/432.301/REGDIT/SIKB 10/24/2016 2/27/2020 RSU Mohammad Noer
012016-7887 Sahrotun, Amd.Keb PNS 015 /X/2016 Pamekasan
106 102.6-25051991- Perempuan BLUD non BIDAN P2T/8556/03.01/XII/201 12/19/2012 5/25/2022 10.6/432.301/REGDIT/SIKB 10/24/2016 5/25/2022 RSU Mohammad Noer
012016-7888 Zhulvie Meylanzharie, Amd.Keb PNS 2 /X/2016 Pamekasan
107 19940620 201903 2 011 Perempuan PNS TEKNISI 16 13 6 2 1 17-2144760 10/12/2017 6/20/2022 03/432.302/YANPRIM/SIP- 7/5/2019 6/20/2022 RSU Mohammad Noer
Risalia, S.Tr.TEM ELEKTROMEDIS E/VII/2019 Pamekasan
TERAMPIL
108 102.6-13041994- Laki-Laki BLUD non PEREKAM MEDIS P2T/81/03.11/01/IV/201 4/8/2015 12/24/2020 01/432.301/REGDIT/SIPM/ 12/5/2016 12/24/2020 RSU Mohammad Noer
012016-7890 Ach. Rochihan Bahtiar, Amd.RMIK PNS 5 XII/2016 Pamekasan
109 102.6-20021995- Perempuan BLUD non PEREKAM MEDIS 16 10 5 2 1 17- 4/4/2017 2/20/2022 2/20/2022 RSU Mohammad Noer
102017-9264 Azkiyatur Rahmi, Amd.RMIK PNS 2058100 Pamekasan
110 19860820 201903 1 005 Laki-Laki PNS P2T/2998/03.02/02/VII/ 7/18/2019 8/20/2024 RSU Mohammad Noer
Miftahol Munir, A.Md.Kep. 2019 Pamekasan
111 102.6-03091989- Laki-Laki BLUD non Perawat P2T/754/03.02/02/XI/20 11/3/2016 9/3/2021 10.48/432.301/REGDIT/SIK 11/28/2016 9/3/2021 RSU Mohammad Noer
012015-0403 Yudi Septian Dwi Cahyono, Amd.Kep PNS 16 P/XI/2016 Pamekasan
112 19880710 201903 2 016 Perempuan PNS Perawat 16 01 7 2 1 16-1148266 4/15/2016 7/10/2021 08.197/432.302/YANPRIM 8/7/2016 7/10/2021 RSU Mohammad Noer
Sitti Aisyah, A.Md.Kep. /SIKP/VIII/2019 Pamekasan CPNS proses SIK

113 19880412 201903 2 010 Perempuan PNS Perawat 16 01 5 2 2 17-1429651 10/4/2017 4/12/2022 RSU Mohammad Noer
Siti Zainur Rahmatillah, A.Md.Kep. Pamekasan CPNS proses SIK

114 102.6-25011994- Perempuan BLUD non PEREKAM MEDIS P2T/269/03.11/01/XI/20 11/9/2015 1/25/2020 02/432.301/REGDIT/SIPM/ 12/5/2016 1/25/2020 RSU Mohammad Noer
012016-7891 Suciati Nuraini, Amd.RMIK PNS 15 XII/2016 Pamekasan
115 Laki-Laki MOU DOKTER Sp. 33.1.1.501.3.19.095601 4/29/2019 2/2/2024 54/432.302/YANPRIM/SIP 5/14/2019 2/2/2024 RSU Mohammad Noer
dr. Aceng Apandi, Sp.An ANASTESI D/V/2019 Pamekasan
116 Laki-Laki MOU DOKTER Sp. 35.1.1.401.3.15.000439 12/10/2015 12/10/2020 63/432.302/REGDIT/SIPD/ 28/11/2016 12/10/2021 RSU Mohammad Noer
dr. Moh. Ariful Munir, Sp.PD PENYAKIT DALAM XI/2016 Pamekasan
117 Laki-Laki MOU DOKTER Sp. PARU 31.1.1.604.3.15.077916 10/25/2015 10/25/2020 57.1/432.301/REGDIT/SIP 26/10/2015 10/25/2020 RSU Mohammad Noer
dr. Syaiful Hidayat, Sp.P D/X/2015 Pamekasan
118 Perempuan MOU DOKTER Sp. 35.2.1.503.3.16.032661 8/23/2016 6/19/2022 45.02/432.302/REGDIT/SIP 26/09/2016 6/19/2021 RSU Mohammad Noer
dr. Median Pertamawati, Sp.Rad RADIOLOGI D/IX/2016 Pamekasan
119 Perempuan MOU DOKTER Sp. 35.2.1.402.3.16.093858 3/18/2016 7/31/2021 43/432.302/REGDIT/SIPD/I 16/09/2016 7/31/2021 RSU Mohammad Noer
dr. Amelia Ina Sadiati, S.JP JANTUNG X/2016 Pamekasan
120 Perempuan MOU DOKTER Sp. 35.2.1.502.4.19.029115 1/9/2019 11/9/2023 63/432.302/REGDIT/SIPD/ 10/12/2015 11/9/2020 RSU Mohammad Noer
dr. Siti Hotimah, Sp.PK PATOLOGI KLINIK XII/2015 Pamekasan
121 Laki-Laki MOU DOKTER Sp. 35.1.1.402.3.16.065695 11/14/2016 4/19/2022 62/432.301/YANPRIM/SIP 5/23/2019 4/19/2022 RSU Mohammad Noer
dr. Ahmad Faizal Amir, Sp.JP JANTUNG D/V/2019 Pamekasan

Pamekasan, 29 Agustus 2019

Mengetahui,
Direktur
RSU MOHAMMAD NOER PAMEKASAN

dr. NONO IFANTONO,MMRS

Pembina
NIP. 19680313 200212 1 005
 REKAP DAFTAR TENAGA KES

Status
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi
waian
1 19790503 200501 1 011 Laki-Laki PNS DOKTER SP PARU
dr. DAVID ALVIANTO, Sp.P

2 19690817 200604 2 018 Perempuan PNS DOKTER /

dr. WIWIET WIDOWATI AGUSTIANI STUKTURAL
3 19760407 200801 1 013 Laki-Laki PNS DOKTER /
dr. ANDY EKA BACHTIAR STUKTURAL
4 19860703 201403 1 001 Laki-Laki PNS DOKTER SP.
dr. ERDI KHALIDA PUTRA SARAF
5 19890415 201403 2 001 Perempuan PNS DOKTER
dr. APRILIA ROMDIYANA

6 19831004 201412 1 001 Laki-Laki PNS DOKTER SP PARU

dr. MOKHAMMAD MUKHLIS, Sp.P

7 19850820 201412 1 002 Laki-Laki PNS DOKTER

dr. R. MUH. ZULFAN JAUHARI

8 19830827 201412 2 001 Perempuan PNS DOKTER

dr. DIAN PUSPITARINI, Sp.S

9 19860210 201412 1 001 Laki-Laki PNS DOKTER

dr. MOHAMMAD HUSNI THAMRIN

10 19880604 201503 1 003 Laki-Laki PNS DOKTER

dr. RADHITIYA FARIZKY DETA JUNIAWAN

11 198403252019031003 dr Franky Ardhana Kawilarang, M.Biomed., Laki-Laki PNS DOKTER SP.

SPOG OBGYN
12 199205212019032019 Perempuan PNS DOKTER
dr. Syifa Marhattya Rizky

13 199205212019032018 Perempuan PNS DOKTER

dr. Indah Purnama Sari

14 102.6-11051983- Laki-Laki BLUD non DOKTER SP.

012018-9612 dr. Angga Notosusanto Mukti, Sp.B PNS BEDAH
15 102.6-12051989- Perempuan BLUD non DOKTER
102017-9254 dr. Zakiyah Zulfa PNS
16 102.6-03121982- Laki-Laki BLUD non DOKTER
012018-9608 dr. Deddy Fransieska PNS
17 102.6-02031989- Perempuan BLUD non DOKTER
092018-0503 dr. Istianah Sakdullah PNS
18 102.6-06061981- Laki-Laki BLUD non DOKTER SP
052019-3425 dr. Mochammad Rizal, Sp.OG. PNS OBGYN
R TENAGA KESEHATAN RSU MOHAMMAD NOER PAMEKASAN
TAHUN 2019

Tanggal
Tanggal Masa Berlaku Masa Berlaku
STR SIP / SIK penerbitan
penerbitan STR STR SIP/SIK
SIP/SIK
3511100316033965 9/19/2018 5/3/2023 88/432.302/YANPRIM/SIP 11/8/2018 5/3/2023
D/XI/2018
3521100316049040 12/20/2016 8/17/2022 79/441.302/YANPRIM/SIP 6/9/2017 8/17/2022
D/VI/2017
3511100316033967 12/13/2016 4/7/2022 13/432.302/YANPRIM/SIP 2/1/2017 4/7/2022
D/II/2017
3511605318118347 2/2/2018 7/3/2023 22/432.302/YANPRIM/SIP 3/9/2018 7/3/2023
D/III/2018
3521100114139423 2/7/2014 09/423.301/REGDIT/SIPD/I 3/18/2015
II/2015
3511100215112365 7/31/2019 10/4/2024 85/432.302/YANPRIM/SIP 8/6/2019 10/4/2024
D/VIII/2019
3511100216120880 2/18/2016 40/432.301/REGDIT/SIPD/I 9/13/2016
X/2016
3521605315093761 5/5/2015 5/5/2020 66/432.301/REGDIT/SIPD/ 12/28/2015 5/5/2020
XII/2015
3511100112135330 10/1/2012 108.1/432.301/REGDIT/SIP 2/26/2013
D/II/2013
3511100113146658 11/27/2013 35/432.301/REGDIT/SIPD/ 3/18/2015
V/2015
51.1.1.301.3.16.108186 3/28/2016 3/25/2021 20/432.301/REGDIT/SIPD/ 5/4/2016 3/25/2021
V/2016
33.2.1.100.1.17.174433 10/19/2017 5/21/2023 21/432.302/YANPRIM/SIP 3/9/2018 5/21/2023
D/III/2018
33.2.1.100.1.18.185918 11/26/2018 5/21/2024 55/432.302/YANPRIM/SIP 5/14/2019 5/21/2024
D/V/2019
35.1.1.101.2.15.102679 4/21/2015 4/21/2020 15/432.302/YANPRIM/SIP 2/13/2018 4/21/2020
D/II/2018
3521100117169390 3/22/2017 5/12/2022 85/432.302/YANPRIM/SIP 5/12/2017 5/12/2022
D/V/2017
3511100117192665 12/11/2017 12/3/2023 40/432.302/YANPRIM/SIP 4/3/2018 12/3/2023
D/IV/2018
35.2.1.100.1.16.156709 7/12/2016 3/2/2022 82/432.302/YANPRIM/SIP 10/11/2018 3/2/2022
D/X/2018
32.1.1.301.2.16.097842 11/8/2016 6/6/2022 32/432.302/YANPRIM/SIP 3/27/2019 6/6/2022
D/III/2019
 Nama Fasyankes Ketenagaan

RSU Mohammad Noer Tugas Belajar PPDS

Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer Tugas Belajar PPDS
Pamekasan
RSU Mohammad Noer Tugas Belajar PPDS
Pamekasan
RSU Mohammad Noer Tugas Belajar PPDS
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer Tugas Belajar PPDS
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
 Status
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi
waian
19 102.6-03071970- Laki-Laki BLUD non DOKTER
052019-4092 dr. Tri Susandhi Juliarto, M.Kes PNS
20 102.6-07091991- Perempuan BLUD non DOKTER
052019-5548 dr. Anisatul Mannunah PNS
21 198810012019032010 Perempuan PNS DOKTER GIGI
drg. Fitriyah Okta Lutfiyana

22 19860101 201403 2 001 Perempuan PNS APOTEKER

ULVA ROSYANA, S.Farm.Apt

23 199310302019032014 Perempuan PNS APOTEKER

Ani Putri Ayu Setyawati, S.Farm., Apt.

24 199503172019032019 Perempuan PNS APOTEKER

Noviyatul Fitriyah, S.Farm., Apt.

25 102.6-12041986- Perempuan BLUD non APOTEKER

012016-7856 Raden Sugesti Handayani, Apt. PNS
26 19890627 201403 1 001 Laki-Laki PNS ASISTEN
ABDI SHODAQ APOTEKER
PEMULA
27 102.6-20041983- Perempuan BLUD non ASISTEN
012015-0433 Ainur Rahmah PNS APOTEKER
28 102.6-03031986- Perempuan BLUD non ASISTEN
012015-0434 Zilfiya Irninda Ghozali PNS APOTEKER
29 102.6-29051992- Perempuan BLUD non ASISTEN
012016-7862 Faizatul Mukarromah, Amd. Farm PNS APOTEKER
30 102.6-12041996- Laki-Laki BLUD non ASISTEN
052019-3133 Ferdika David, A.Md.Farm PNS APOTEKER
31 102.6-22071996- Perempuan BLUD non ASISTEN
052019-347 Suhendra Puspita Sari, A.Md.Farm PNS APOTEKER
32 19660604 199803 1 005 Laki-Laki PNS RADIOGRAFER
SAKUR, AMd.Rad MAHIR
33 19920609 201403 2 002 Perempuan PNS RADIOGRAFER
YUNITA AYU PRATIWI, Amd.Rad TERAMPIL
34 199402072019031010 Laki-Laki PNS RADIOGRAFER
Elde Alifi Subhan Syadad, Amd.Rad

35 199212242019031012 Laki-Laki PNS RADIOGRAFER

M. Haris, A.Md.Rad

36 199103032019031007 Laki-Laki PNS

Billy Nur Rajasa, A.Md.Rad RADIOGRAFER

37 102.6-23031988- Perempuan BLUD non

012015-0399 Nur Aini, Amr PNS RADIOGRAFER

38 102.6-04071994- Laki-Laki BLUD non RADIOGRAFER

052019-3084 Faizal Tri Yulianto, A.Md.Rad PNS
 Tanggal
Tanggal Masa Berlaku Masa Berlaku
STR SIP / SIK penerbitan
penerbitan STR STR SIP/SIK
SIP/SIK
35.1.1.100.2.18.1464 12/5/2018 7/3/2023 72/432.302/YANPRIM/SIP 7/1/2019 7/3/2023
15 D/VII/2019
35.2.1.100.1.19.186961 1/2/2019 9/7/2024 45/432.302/YANPRIM/SIP 4/24/2019 9/7/2024
D/IV/2019
35.2.2.100.2.18.140150 4/1/2018 10/1/2023 06/432.302/YANPRIM/SIP 5/17/2019 10/1/2023
DG/V/2019
19860101/STRA- 12/31/2015 1/1/2020 1960101/SIPA- 6/29/2016 1/1/2021
UNAIR/2010/222370 35.28/2016/2007
19931030/STRA- 9/14/2016 10/30/2021
UNAIR/2016/24618

19950317/STRA- 9/10/2018 3/17/2023

UMM/2018/255315

19860412/STRA- 7/5/2017 4/12/2022 19860412/SIPA- 6/29/2016 4/12/2021

UNAIR/2012/225581 35.28/2016/2 008
P2T/3186/03.06/02/V/2 05/05/2017 6/27/2022 19890627/SIKTTK.35.28/2 19/05/2017 6/27/2022
017 017/1 016
P2T/229/03.6/03/XII/20 4/19/2012 4/20/2017 19830420/SIKTTK- 4/19/2013 4/20/2017
12 35.28/2013/2 002
P2T/840/03.06/02/III/20 3/2/2017 3/3/2022 19860303/SIKTTK- 4/19/2013
17 35.28/2013/2 003
PP2T/613/03.06/02/IV/ 4/5/2019 5/29/2024 19920529/SIKTTK- 5/8/2019 5/29/2024
2019 35.28/2016/2 011
P2T/6891/03.06/01/X/2 10/5/2017 4/12/2022
017

P2T/102/03.06/01/I/201 2/26/2015 7/22/2020

5

P2T/49/03.08/01/III/201 3/19/2015 6/4/2020 04/432.301/REGDIT/SIK.R 3/1/2015 6/4/2020

5 AD/III/2015
P2T/15/03.08/01/I/2014 1/10/2014 6/9/2019 03/432.301/REGDIT/SIK- 3/24/2015 6/9/2020
RAD/III/2015
P2T/160/03.08/01/IX/20 9/1/2015 2/7/2020 02/432.301/REGDIT/SIK- 11/1/2016 2/7/2020
15 RAD/XI/2016
16 07 5 1 1 18- 6/23/2018 12/24/2023
1564776

P2T/24/03.08/02/V/201 5/3/2017 3/23/2022

7

P2T/22/03.08/01/II/201 2/9/2016 7/4/2021

6
 Nama Fasyankes Ketenagaan

RSU Mohammad Noer

Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer CPNS proses SIK
Pamekasan
RSU Mohammad Noer CPNS proses SIK
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer Proses SIK
Pamekasan
RSU Mohammad Noer Proses SIK
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer CPNS proses SIK
Pamekasan
RSU Mohammad Noer CPNS proses SIK
Pamekasan
RSU Mohammad Noer CPNS proses SIK
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
 Status
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi
waian
39 19930124 201903 2 012 Perempuan PNS FISIOTERAPIS
Nur Kholifah, A.Md.Ft

40 19921212 201903 1 010 Laki-Laki PNS FISIOTERAPIS

ANDHIKA BANI PUTRA

41 19730317 199703 2 005 Perempuan PNS PRANATA

LILIK WIDIARTINI, A.Md.Kes LABORATORIUM
KESEHATAN
42 19870206 201101 2 012 Perempuan PNS PRANATA
FITA WIDAYATI, A.Md.AK LABORATORIUM
KESEHATAN
43 102.6-20041983- Perempuan BLUD non PRANATA
012015-0393 SUSWALINDA, Amak PNS LABORATORIUM
KESEHATAN
44 102.6-12041978- Perempuan BLUD non PRANATA
012015-0394 IKA RACHMAWATI APRI YANI, Amak PNS LABORATORIUM
KESEHATAN
45 102.6-06111992- Perempuan BLUD non PRANATA
012016-7863 Rusliyana, Amd.AK PNS LABORATORIUM
KESEHATAN
46 102.6-15111991- Perempuan BLUD non PRANATA
012016-7865 Nika Prihandini, Amd.AK PNS LABORATORIUM
KESEHATAN
47 102.6-02101993- Perempuan BLUD non PRANATA
052019-2965 Immi Kamilatinnisa', A.Md. AK PNS LABORATORIUM
KESEHATAN
48 102.6-14071993- Perempuan BLUD non
012016-7894 Hidhayatul Rizkiyani, Amd.Ak PNS Loket

49 102.6-09051992- Perempuan BLUD non

012016-7893 Rika Anggraini Irawan, Amd.Ak PNS Loket

50 199508232019032016 Perempuan PNS

Nur Agustin Julianty, A.Md.Gz NUTRISIONIS

51 19930710 201903 2 014 Perempuan PNS

Mariyatul Fitriyah, A.Md.Gz NUTRISIONIS

52 102.6-01091990- Perempuan BLUD non NUTRISIONIS

012015-0411 Lutfi Rindawati, Amd.Gz PNS
53 102.6-27011996- Laki-laki BLUD non NUTRISIONIS
102018-1153 M. Firdiansyah Dio Saputra, A.Md.Gz PNS
54 19710118 199503 2 003 Perempuan PNS PERAWAT AHLI
DINAWATI, S.Kep.,NS MUDA
55 19760516 199703 1 003 Laki-Laki PNS PERAWAT AHLI
SARIFUDIN, S.Kep.,Ns, M.Kep MUDA
56 19620113 199303 2 001 Perempuan PNS PERAWAT MAHIR
ANDARWATI

57 19770415 199703 1 002 Laki-Laki PNS PERAWAT MAHIR

SUYOTO, Amd.Kep

58 19731004 199703 1 003 Laki-Laki PNS PERAWAT MAHIR

MOHAMMAD KASIH
 Tanggal
Tanggal Masa Berlaku Masa Berlaku
STR SIP / SIK penerbitan
penerbitan STR STR SIP/SIK
SIP/SIK
P2T/32/03.04/02/II/201 2/28/2019 1/24/2024 02/4322.302/YANPRIM/SI 6/18/2019 1/24/2024
9 PF/VI/2019
P2T/37/03.04/02/III/201 3/14/2019 12/12/2024
9

P2T/25/03.14/01/III/201 3/29/2012 3/17/2017 15/432.301/REGDIT/SIPATL 11/28/2016 3/17/2017

2 M/XI/2016
P2T/240/03.14/02/II/20 2/13/2017 2/6/2022 32/432.301/YANPRIM/SIPA 12/11/2017 2/6/2022
17 TLM/XI/2017
P2T/418/03.14/02/V/20 5/4/2017 4/20/2022 11/432.301/REGDIT/SIPATL 11/3/2016 4/20/2017
17 M/XI/2016
P2T/24/03.14/01/III/201 3/29/2012 12/432.301/REGDIT/SIPATL 11/3/2016
2 M/XI/2016
P2T/74/03.14/01/I/2015 1/27/2015 11/6/2020 14/432.301/REGDIT/SIPATL 11/28/2016 11/6/2020
M/XI/2016
P2T/759/03.14/01/IX/20 9/18/2013 11/15/2018 10/432.301/REGDIT/SIPATL 11/28/2016 9/14/2018
13 M/XI/2016
P2T/275/03.14/01/V/20 5/15/2015 10/2/2020
15

16 09 5 2 1 18- 1/2/2018 9/1/2023 09.10/432.301/YANPRIM/ 9/21/2018 9/1/2023

2197272 SIKTGz/IX/2018
P2T/290/03.10/01/IX/20 9/10/2018 1/27/2023
18

P2T/9960/03.02/01/XI/2 11/27/2013 1/18/2023 8.79/432.301/REGDIT/SIKP 2/26/2014 1/18/2023

013 /II/2014
P2T/3060/03.02/01/II/2 2/8/2013 5/16/2018 8.50/432.301/REGDIT/SIKP 2/24/2014 5/16/2018
013 /II/2014
P2T/3400/03.02/02/II/2 2/27/2014 1/13/2019 02.71/432.301/REGDIT/SIK 3/25/2015 1/13/2019
014 P/III/2015
P2T/3399/03.02/02/II/2 2/27/2014 02.66/432.301/REGDIT/SIK 3/25/2015
014 P/III/2015
P2T/3401/03.02/02/II/2 2/27/2014 10/4/2019 10.50/432.301/REGDIT/SIK 11/28/2016 10/4/2019
014 P/XI/2016
 Nama Fasyankes Ketenagaan

RSU Mohammad Noer

Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer Proses SIK
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer CPNS proses SIK
Pamekasan
RSU Mohammad Noer CPNS proses SIK
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
 Status
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi
waian
59 19750928 199903 1 002 Laki-Laki PNS PERAWAT AHLI
MOHAMMAD YASIF, S.Kep.,NS PERTAMA
60 19800913 200801 2 016 Perempuan PNS PERAWAT AHLI
SRI HARTATIK HANDAYANI, S.Kep.,Ns PERTAMA
61 19811211 201001 2 031 Perempuan PNS PERAWAT AHLI
DWI INDAH PURNAMASARI, S.Kep.,Ns PERTAMA
62 19810726 201001 1 012 Laki-Laki PNS PERAWAT
ERWIEN FARDIANTO, Amd.Kep TERAMPIL
63 19850804 201101 1 005 Laki-Laki PNS PERAWAT
GINANJAR RAH UTOMO, Amd.Kep TERAMPIL
64 19870401 201101 1 014 Laki-Laki PNS PERAWAT
HENDRA LUTFIADI, Amd.Kep TERAMPIL
65 19890819 201212 1 001 Laki-Laki PNS PERAWAT
M. BAYU WICAKSONO, Amd.Kep TERAMPIL
66 19850707 201403 1 001 Laki-Laki PNS PERAWAT
ABDUL ANAM, Amd.Kep TERAMPIL
67 19900222 201403 1 003 Laki-Laki PNS PERAWAT
DONI FEBRIYANTO, Amd.Kep TERAMPIL
68 19791217 201412 2 001 Perempuan PNS PERAWAT
YUSTINA DES BRAWIJAYATI, Amd.Kep TERAMPIL
69 19780611 201412 1 002 Laki-Laki PNS PERAWAT
ERIK SUPRIADI, Amd.Kep TERAMPIL
70 19781117 201412 1 001 Laki-Laki PNS PERAWAT
NANANG SUMARDIYANTO, Amd.Kep TERAMPIL
71 19800409 201412 1 003 Laki-Laki PNS PERAWAT
MOH. HANAFI BUDI CAHYONO, Amd.Kep TERAMPIL
72 19810828 201412 2 004 Perempuan PNS PERAWAT
AYU DEWI NINGTIAS, Amd.Kep TERAMPIL
73 19860323 201503 1 002 Laki-Laki PNS PERAWAT
WIDODO DWI NURCAHYO, Amd. Kep TERAMPIL
74 19810109 200801 2 008 Perempuan PNS PERAWAT
HANIS MAULANA TERAMPIL
75 102.6-02111986- Perempuan BLUD non PERAWAT
012015-0395 Sitti Amina, Amd.Kep PNS
76 102.6-16071987- Perempuan BLUD non PERAWAT
012015-0396 Eva Yuliandri, Amd.Kep PNS
77 102.6-12121985- Perempuan BLUD non PERAWAT
012015-0397 Maisaroh, Amd.Kep PNS
78 102.6-02051988- Laki-Laki BLUD non PERAWAT
012015-0398 Ach. Kusairi, Amd.Kep PNS
 Tanggal
Tanggal Masa Berlaku Masa Berlaku
STR SIP / SIK penerbitan
penerbitan STR STR SIP/SIK
SIP/SIK
P2T/9961/03.02/01/XI/2 11/27/2013 9/28/2018 02.70/432.301/REGDIT/SIK 3/25/2015 9/28/2018
013 P/III/2015
P2T/9962/03.02/01/XI/2 11/27/2013 9/13/2023 12.57/432.301/REGDIT/SIK 10/22/2014 9/13/2023
013 P/X/2014
P2T/4963/03.02/02/IV/2 4/3/2013 12/11/2018 8.49/432.301/REGDIT/SIKP 2/24/2014 12/11/2018
013 /II/2014
16 01 7 1 1 19- 2/19/2019 6/26/2024 08.189/432.302/YANPRIM 8/6/2019 6/26/2024
2438699 /SIKP/VIII/2019
P2T/8471/03.02/02/X/2 10/30/2013 8.75/432.301/REGDIT/SIKP 2/26/2014
013 /II/2014
P2T/4/03.02/02/I/2015 1/2/2015 4/1/2020 04.03/432.301/REGDIT/SIK 5/19/2015 4/1/2020
P/V/2015
P2T/8511/03.02/01/XI/2 11/13/2012 3.7/441.301/REGDIT/SIKP/ 9/18/2013
012 IX/2013
P2T/7356/03.02/01/IX/2 9/23/2013 7/7/2023 02.68/432.301/REGDIT/SIK 3/25/2015 7/7/2023
013 P/III/2015
P2T/2611/03.02/02/III/2 3/7/2017 2/22/2022 12.129/432.302/YANPRIM 2/26/2014 4/1/2020
017 /SIKP/XII/2017
P2T/9958/03.02/02/XI/2 11/27/2013 12/17/2018 10.51/432.301/REGDIT/SIK 11/28/2016 12/17/2018
013 P/XI/2016
P2T/10425/03.02/02/XII 12/12/2013 6/11/2023 11.14/432.301/REGDIT/SIK 6/9/2014 6/11/2023
/2013 P/VI/2014
P2T/9643/03.02/02/XI/2 11/19/2013 11/17/2018 11.15/432.301/REGDIT/SIK 6/9/2014 11/17/2018
013 P/VI/2014
P2T/3567/03.02/01/III/2 3/16/2015 4/9/2020 04.2/432.301/REGDIT/SIKP 5/19/2015 4/9/2020
015 /V/2015
P2T/9959/03.02/02/XI/2 11/27/2013 8/28/2023 8.76/432.301/REGDIT/SIKP 2/28/2014 8/28/2023
013 /II/2014
160151112-0605326 6/4/2013 08.37/432.301/REGDIT/SIK 10/5/2015
P/X/2015
P2T/5019/03.02/02/IV/2 4/4/2013 1/9/2020 8.51/432.301/REGDIT/SIKP 2/24/2014 1/9/2020
013 /2014
P2T/8468/03.02/02/X/2 10/30/2013 11/2/2023 8.78/432.301/REGDIT/SIKP 2/28/2014 11/2/2023
013 /II/2014
P2T/15674/03.02/02/XII 12/7/2015 5/4/2018 07.32/432.301/REGDIT/SIK 6/20/2016 5/4/2018
/2015 P/VII/2016
P2T/1000/03.02/02/I/20 1/22/2014 12/12/2019 8.77/432.301/REGDIT/SIKP 2/28/2014 12/12/2019
14 /II/2014
P2T/13999/03.02/02/XI/ 11/20/2015 5/2/2020 01.06/432.301/REGDIT/SIK 1/29/2016 5/2/2020
2015 P/I/2016
 Nama Fasyankes Ketenagaan

RSU Mohammad Noer

Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
 Status
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi
waian
79 102.6-04011987- Laki-Laki BLUD non PERAWAT
012015-0400 Zainal Abrori, Amd.Kep PNS
80 102.6-07021986- Laki-Laki BLUD non PERAWAT
012015-0401 Johan Wahyudi, Amd.Kep PNS
81 102.6-30101984- Laki-Laki BLUD non PERAWAT
012015-0402 Sudarli, Amd.Kep PNS
82 102.6-03091989- Laki-Laki BLUD non PERAWAT
012015-0403 Yudi Septian Dwi Cahyono, Amd.Kep PNS
83 102.6-12051990- Perempuan BLUD non PERAWAT
012015-0406 Lisdiawati, Amd.Kep PNS
84 102.6-30101989- Perempuan BLUD non PERAWAT
012015-0407 Hikmatul Maulidiyah, Amd.Kep PNS
85 102.6-10011989- Laki-Laki BLUD non PERAWAT
012015-0408 Akh. Azis Albar, Amd.Kep PNS
86 102.6-31081989- Perempuan BLUD non PERAWAT
012015-0409 Hesti Rusdiatul Fatatik P, Amd.Kep PNS
102.6-12031989- Laki-Laki BLUD non PERAWAT
012015-0410 Mohammad Firman A, Amd.Kep PNS
88 102.6-24031991- Perempuan BLUD non PERAWAT
012015-0414 Robiatun, Amd.Kep PNS
89 102.6-21031992- Perempuan BLUD non PERAWAT
012015-0412 Sitta Ekawati Praptini, Amd.Kep PNS
90 102.6-22111978- Perempuan BLUD non PERAWAT
012015-0416 Novi Andarisasi, Amd.Kep PNS
91 102.6-01031983- Perempuan BLUD non PERAWAT
012015-0417 Ika Mery Aninda, Amd.Kep PNS
92 102.6-01041993- Perempuan BLUD non PERAWAT
012015-0428 Firdaus Watun Hasanah, Amd.Kep PNS
93 102.6-08031992- Laki-Laki BLUD non PERAWAT
012015-0431 Misbahul Munir, Amd.Kep PNS
94 102.6-12061991- Perempuan BLUD non PERAWAT
012015-0430 Dewi Yuniartin, Amd.Kep PNS
95 102.6-02081987- Laki-Laki BLUD non PERAWAT
012015-0427 Noviyanto Budi Dewadji, Amd.Kep PNS
96 102.6-10101991- Laki-Laki BLUD non PERAWAT
012015-0429 Ach. Firman Zuhdi, Amd.Kep PNS
97 102.6-11121988- Perempuan BLUD non PERAWAT
012015-0426 Rosita Dewi Handiyana, Amd.Kep PNS
98 102.6-18041990- Laki-Laki BLUD non PERAWAT
012015-0419 Akhmad Taufik Hidayat, Amd.Kep PNS
 Tanggal
Tanggal Masa Berlaku Masa Berlaku
STR SIP / SIK penerbitan
penerbitan STR STR SIP/SIK
SIP/SIK
P2T/15672/03.02/02/XII 12/7/2015 1/4/2020 07.37/432.301/REGDIT/SIK 7/20/2016 1/4/2020
/2015 P/VII/2016
P2T/8848/03.02/02/XI/2 11/21/2012 3.6/441.301/REGDIT/SIKP/ 9/18/2013
012 IX/2013
P2T/769/03.02/02/I/201 1/10/2013 11/30/2018 04.90/432.302/YANPRIM/ 10/30/2024 4/25/2019
3 SIKP/IV/2019
P2T/7541/03.02/02/XI/2 11/3/2016 10.48/432.301/REGDIT/SIK 11/28/2016
016 PXI/2016
P2T/7540/03.02/02/XI/2 11/3/2016 5/12/2021 10.43/432.301/REGDIT/SIK 11/28/2016 5/12/2021
016 P/XI/2016
P2T/11694/03.02/02/XI/ 11/2/2015 7/30/2020 01.07/432.301/REGDIT/SIK 1/29/2016 7/30/2020
2015 P/I/2016
P2T/7301/03.02/02/X/2 10/27/2016 1/10/2021 10.46/432.301/REGDIT/SIK 11/28/2016 1/10/2021
016 P/XI/2016
P2T/7299/03.02/02/X/2 10/27/2016 10/27/2016 10.42/432.301/REGDIT/SIK 11/28/2016 10/27/2016
016 P/XI/2016
P2T/7302/03.02/02/X/2 10/27/2016 3/12/2021 10.41/432.301/REGDIT/SIK 11/28/2016 3/12/2021
016 P/XI/2016
P2T/10746/03.02/01/XII 12/14/2012 3/24/2022 11.19/432.301/REGDIT/SIK 6/9/2014 3/24/2022
/2012 P/VI/2014
P2T/2049/03.02/01/II/2 07/02/1014 3/12/2019 11.18/432.301/REGDIT/SIK 6/9/2014 3/12/2019
014 P/VI/2014
P2T/3614/03.02/01/III/2 3/16/2015 11/22/2020
015

P2T/9447/03.02/02/IX/2 9/17/2015 3/1/2020

015

P2T/8250/03.02/01/X/2 10/16/2013 8/1/2028 02.53/432.301/REGDIT/SIK 3/19/2015 8/1/2028

013 P/III/2015
P2T/8187/03.02/01/X/2 10/16/2013 02.26/432.301/REGDIT/SIK 3/3/2015
013 P/III/2015
P2T/8150/03.02/01/X/2 10/11/2013 6/12/2015 02.30/432.301/REGDIT/SIK 3/3/2015 6/12/2015
013 P/III/2015
P2T/11435/03.02/02/XII 12/30/2014 8/2/2019 02.24/432.301/REGDIT/SIK 3/3/2015 8/2/2019
/2014 P/III/2015
P2T/8971/03.02/01/XI/2 11/22/2012 10/10/2017 02.54/432.301/REGDIT/SIK 3/19/2015 10/10/2017
012 P/III/2015
P2T/1292/03.02/02/I/20 1/28/2016 12/11/2021 07.06/432.301/REGDIT/SIK 7/14/2016 12/11/2021
16 P/VII/2016
P2T/3577/03.02/01/IV/2 4/4/2012 4/18/2022 02.31/432.301/REGDIT/SIK 3/3/2015 4/18/2022
012 P/III/2015
 Nama Fasyankes Ketenagaan

RSU Mohammad Noer

Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
 Status
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi
waian
99 102.6-29051985- Perempuan BLUD non PERAWAT
012015-0418 Astri Normalasari, Amd.Kep PNS
100 102.6-14051991- Perempuan BLUD non PERAWAT
012015-0421 Khalifatur Rahmah, Amd.Kep PNS
101 102.6-04061991- Laki-Laki BLUD non PERAWAT
012015-0423 Citra Hari Perdana, Amd.Kep PNS
102 102.6-04051992- Perempuan BLUD non PERAWAT
012015-0422 Eva Fitriyah, Amd.Kep PNS
103 102.6-20011987- Laki-Laki BLUD non PERAWAT
012015-0425 Ach. Zainal Arifin, Amd.Kep PNS
104 102.6-10031987- Perempuan BLUD non PERAWAT
012015-0424 Siti Hosniyah, Amd.Kep PNS
105 102.6-10051986- Laki-Laki BLUD non PERAWAT
012015-0432 Abdul Rahman Triyanto, Amd.Kep PNS
106 102.6-24121990- Perempuan BLUD non PERAWAT
012015-0420 Desi Arisandi, Amd.Kep PNS
107 102.6-08071990- Perempuan BLUD non PERAWAT
012016-7867 Yuliastutik, Amd.Kep PNS
108 102.6-11061989- Laki-Laki BLUD non PERAWAT
012016-7868 Dedy Haryanto, Amd.Kep PNS
109 102.6-28031990- Laki-Laki BLUD non PERAWAT
012016-7869 Abd Hayyi, Amd.Kep PNS
110 102.6-27051990- Laki-Laki BLUD non PERAWAT
012016-7870 Iwan Feri Haryanto, Amd.Kep PNS
111 102.6-24071988- Laki-Laki BLUD non PERAWAT
012016-7871 Akhmad Faiq Sutanto, Amd.Kep PNS
112 102.6-27011992- Laki-Laki BLUD non PERAWAT
012016-7872 Moch. Joko Wediarto, Amd.Kep PNS
113 102.6-01041994- Laki-Laki BLUD non PERAWAT
012016-7873 Teguh Hariyanto Permadi, Amd.Kep PNS
114 102.6-26041989- Perempuan BLUD non PERAWAT
012016-7874 Ririn Fitriana, Amd.Kep PNS
115 102.6-11081990- Laki-Laki BLUD non PERAWAT
022016-7875 Karimullah, Amd.Kep PNS
116 102.6-07031995- Perempuan BLUD non PERAWAT
012016-7876 Siti Qorimah, Amd.Kep PNS
117 102.6-16041992- Laki-Laki BLUD non PERAWAT
012016-7877 Moh. Tohir, Amd.Kep PNS
118 102.6-18071992- Laki-Laki BLUD non PERAWAT
012016-7878 Imam Baihaki, Amd.Kep PNS
 Tanggal
Tanggal Masa Berlaku Masa Berlaku
STR SIP / SIK penerbitan
penerbitan STR STR SIP/SIK
SIP/SIK
P2T/11270/03.02/02/XII 12/20/2012 5/20/2022 02.29/432.301/REGDIT/SIK 3/3/2015 5/20/2022
/2012 P/III/2015
P2T/8158/03.02/01/X/2 10/11/2013 02.23/432.301/REGDIT/SIK 3/3/2015
013 P/III/2015
P2T/8937/03.02/01/XI/2 11/22/2012 6/4/2002 02.52/432.301/REGDIT/SIK 3/19/2015 6/4/2020
012 P/III/2015
P2T/8201/03.02/01/X/2 10/16/2013 7/16/2020 02.25/432.301/REGDIT/SIK 3/3/2015 7/16/2020
013 P/III/2015
P2T/4452/03.02/02/VI/2 6/24/2016 1/20/2021 07.43/432.301/REGDIT/SIK 7/20/2016 1/20/2021
016 P/VII/2016
P2T/8712/03.02/02/XI/2 11/6/2014 3/10/2019 02.27/432.301/REGDIT/SIK 3/3/2015 3/10/2019
014 P/III/2015
P2T/8660/03.02/02/XI/2 11/5/2014 02.22/432.301/REGDIT/SIK 3/3/2015
014 P/III/2015
P2T/9013/03.02/01/XI/2 11/22/2012 12/24/2017 02.28/432.301/REGDIT/SIK 3/3/2015 12/24/2017
012 P/III/2015
P2T/7303/03.02/02/02/ 10/27/2016 7/8/2021 10.44/432.301/REGDIT/SIK 11/28/2016 7/8/2021
X/2016 P/XI/2016
P2T/8933/03.02/01/XI/2 11/22/2012 6/11/2022 07.40/432.301/REGDIT/SIK 7/20/2016 6/11/2022
012 P/VII/2016
P2T/2402/03.02/01/II0/ 2/12/2014 3/28/2024 07.29/432.301/REGDIT/SIK 7/20/2016 3/28/2019
2014 P/XI/2016
P2T/7298/03.02/02/X/2 10/27/2016 5/27/2021 10.49/432.301/REGDIT/SIK 11/28/2016 5/27/2021
016 P/XI/2016
P2T/7300/03.02/02/X/2 10/27/2016 7/24/2021 10.47/432.301/REGDIT/SIK 11/28/2016 7/24/2021
016 P/XI/2016
P2T/9027/03.02/01/XI/2 11/22/2012 1/27/2021 07.36/432.301/REGDIT/SIK 7/20/2016 1/27/2021
012 P/VII/2016
P2T/10601/03.02/01/X/ 10/21/2015 4/1/2020 07.28/432.301/REGDIT/SIK 7/20/2016 4/1/2020
2015 P/VII/2016
P2T/17517/03.02/01/XII 12/31/2015 4/26/2020 07.41/432.301/REGDIT/SIK 7/20/2016 4/26/2020
/2015 P/VII/2016
P2T/7523/03.02/02/VIII/ 8/31/2017 8/11/2022 02.38/432.302/YANPRIM/ 2/28/2018 8/11/2022
2017 SIKP/II/2018
P2T/10658/03.02/01/X/ 10/21/2015 3/7/2020 07.34/432.301/REGDIT/SIK 7/20/2016
2015 P/VII/2016
P2T/8160/03.02/01/X/2 10/11/2013 4/16/2018 07.39/432.301/REGDIT/SIK 7/20/2016
013 P/VII/2016
P2T/8155/03.02/01/X/2 10/11/2013 7/18/2018 07.31/432.301/REGDIT/SIK 7/20/2016
013 P/VII/2016
 Nama Fasyankes Ketenagaan

RSU Mohammad Noer

Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
 Status
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi
waian
119 102.6-21111991- Laki-Laki BLUD non PERAWAT
012016-7879 Fian Andika Novianto, Amd.Kep PNS
120 102.6-25121990- Laki-Laki BLUD non PERAWAT
012016-7880 Herlan Adinata, Amd.Kep PNS
121 102.6-11061992- Laki-Laki BLUD non PERAWAT
012016-7881 Massus, Amd.Kep PNS
122 102.6-02051993- Laki-Laki BLUD non PERAWAT
012016-7882 Zainuddin Chandra Prasetia, Amd.Kep PNS
123 102.6-29041995- Perempuan BLUD non PERAWAT
012016-7883 Nur Fajri Aprelia, Amd.Kep PNS
124 102.6-29061981- Perempuan BLUD non Perawat
092017-9136 Rintih Hestiati, A.Md.Kep PNS

Petugas Kamar
125 19730406 199403 1 004 Halili Laki-laki PNS Gelap
126 Perawat
Suhartono Ariyanto, S.Kep.,Ns BLUD non
102.6-21051988-102017- Laki-laki PNS
127 Perawat
Moh. Rofii, A.Md.Kep BLUD non
102.6-15031993-052019- Laki-laki PNS
128 Perawat
Selly Dwi Oktimerdhani, A.Md.Kep BLUD non
102.6-08101993-052019- Perempuan PNS
129 Perawat
Achmad Khairil Soimin, A.Md.Kep BLUD non
102.6-15021996-052019- Laki-laki PNS
130 Perawat
Ainul Yaqin, A.Md.Kep BLUD non
102.6-15101991-052019- Laki-laki PNS
131 Perawat
Imam Fauzi, S.Kep, Ns BLUD non
102.6-21081990-052019- Laki-laki PNS
132 Perawat
Mulyana Adi Putra, S.Kep.Ns BLUD non
102.6-16051993-052019- Laki-laki PNS
BLUD non Perawat
133 102.6-20091993-052019- Indah Qurrotu A'yun, A.Md.Kep Perempuan PNS
134 Perawat
Saiful Anam, A.Md.Kep BLUD non
102.6-04031988-052019- Laki-laki PNS
135 Perawat
Helda Firmandani, A.Md.Kep BLUD non
102.6-07071993-052019- Laki-laki PNS
136 Perawat
A. Mu'in Sajad Al Farisi, A.Md.Kep.
19930502 201903 1 009 Laki-Laki PNS
137
Ach. Firman Zuhdi, Amd.Kep Perawat
102.6-10101991-012015- Laki-Laki
138 Perawat
Dedy Kurniawan, A.Md.Kep.
19910520 201903 1 009 Laki-Laki PNS
 Tanggal
Tanggal Masa Berlaku Masa Berlaku
STR SIP / SIK penerbitan
penerbitan STR STR SIP/SIK
SIP/SIK
P2T/7310/03.02/01/IX/2 9/4/2014 11/21/2019 07.42/432.301/REGDIT/SIK 7/20/2016
014 P/VII/2016
P2T/8972/03.02/01/XI/2 10/22/2012 12/25/2017 07.33/432.301/REGDIT/SIK 7/20/2016
012 P/VII/2016
P2T/10600/03.02/01/X/ 10/21/2015 6/11/2020 07.27/432.301/REGDIT/SIK 7/20/2016 6/11/2020
2015 P/VII/2016
P2T/8185/03.02/01/X/2 10/16/2013 5/2/2023 07.35/432.301/REGDIT/SIK 7/20/2016 5/2/2023
013 P/VII/2016
P2T/10763/03.02/01/X/ 10/22/2015 4/29/2020 07.30/432.301/REGDIT/SIK 7/20/2016 4/29/2020
2015 P/VII/2016
P2T/2997/03.02/02/VII/ 7/17/2019 7/18/2019 115/432.302/YANPRIM/SI 7/5/2018 6/29/2019
2019 KP/VII/2018

P2T/3252/03.02/02/II/2
014
2/24/2014 4/6/2019 05.14/432.301/REGDIT/SIKP 6/23/2015 4/6/2019

10.45/432.301/REGDIT/SKI
16 15 6 1 1 18- 8/31/2018 5/21/2023 P/XI/2016
1571628 11/28/2016 5/21/2021

P2T/10470/03.02/01/X/ 10/20/2015 7/15/2020

2015

P2T/10462/03.02/01/X/ 10/20/2015 10/8/2020

2015

P2T/468/03.02/01/I/201 1/15/2018 2/15/2023

8

P2T/4204//03.02/02/IX/ 9/10/2018 10/15/2023

2018
08.195/432.302/YANPRIM
16 01 7 1 1 19- 5/6/2019 8/31/2024 /SIKP/VIII/2018
3029233 8/7/2019 8/31/2024
08.192/432.302/YANPRIM
P2T/9005/03.02/01/XII/ 12/1/2016 5/16/2021 /SIKP/VIII/2019
2016 8/7/2019 5/16/2024
P2T/7314/03.02/01/IX/2
9/4/2014 9/20/2019
014

P2T/10430/03.02/02/X/ 10/20/2015 3/4/2020

2015

P2T/3035/03.02/01/III/2 3/10/2015 7/7/2020

015

10/8/2018 5/2/2023
1 01 5 1 1 18-1581484

P2T/2927/03.02/02/VII/ 7/15/2019 5/20/2024

2019
 Nama Fasyankes Ketenagaan

RSU Mohammad Noer

Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan

RSU Mohammad Noer

Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
Proses SIK
RSU Mohammad Noer
Pamekasan
Proses SIK
RSU Mohammad Noer
Pamekasan
Proses SIK
RSU Mohammad Noer
Pamekasan
Proses SIK
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan

RSU Mohammad Noer Proses SIK

Pamekasan
RSU Mohammad Noer
Pamekasan
Proses SIK
RSU Mohammad Noer
Pamekasan
CPNS proses SIK
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
 Status
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi
waian
139
Maisurotul Kisnainiyah, A.Md.Kep Perawat
19930710 201903 2 014 Perempuan PNS
140 Perawat
Qurratul Aini, A.Md.Kep
19951201 201903 2 015 Perempuan PNS
141 Perawat
Vetti fajri Sauli, A.Md.Kep
19960213 201903 2 013 Perempuan PNS
142 Perawat
Eka Agustini, A.Md.Kep.
19930813 201903 2 024 Perempuan PNS
143 PERAWAT GIGI
Irma Maghfirah Safitri, A.Md.KG
19940319 201903 2 020 Perempuan PNS
144 102.6-14061989- Perempuan BLUD non PERAWAT GIGI
012016-7884 Ike Dwi Herdayanti, Amd.Kep PNS
145 102.6-04071989- Perempuan BLUD non BIDAN
012016-7885 Dhahekah, Amd.Keb PNS
146 102.6-15041992- Perempuan BLUD non BIDAN
012016-7886 Fitradiyah Aprianti, Amd.Keb PNS
147 102.6-27021993- Perempuan BLUD non BIDAN
012016-7887 Sahrotun, Amd.Keb PNS
148 102.6-25051991- Perempuan BLUD non BIDAN
012016-7888 Zhulvie Meylanzharie, Amd.Keb PNS
149 19901113 201503 1 003 Laki-Laki PNS TEKNISI
BAMBANG ANDY SUHARTO, Amd.TEM ELEKTROMEDIS
TERAMPIL
150 19940620 201903 2 011 Perempuan PNS TEKNISI
Risalia, S.Tr.TEM ELEKTROMEDIS
TERAMPIL
151 102.6-13041994- Laki-Laki BLUD non PEREKAM MEDIS
012016-7890 Ach. Rochihan Bahtiar, Amd.RMIK PNS
152 102.6-01101993- Laki-Laki BLUD non
102017-9263 Ach. Jauzi, Amd.RMIK PNS PEREKAM MEDIS

153 102.6-20021995- Perempuan BLUD non PEREKAM MEDIS

102017-9264 Azkiyatur Rahmi, Amd.RMIK PNS
154 19860820 201903 1 005 Laki-Laki PNS
Miftahol Munir, A.Md.Kep.

155 19850315 201903 2 010 Perempuan PNS

Zainatun, A.Md.Kep

156 102.6-03091989- Laki-Laki BLUD non Perawat

012015-0403 Yudi Septian Dwi Cahyono, Amd.Kep PNS
157 19880710 201903 2 016 Perempuan PNS Perawat
Sitti Aisyah, A.Md.Kep.

158 19880412 201903 2 010 Perempuan PNS Perawat

Siti Zainur Rahmatillah, A.Md.Kep.
 Tanggal
Tanggal Masa Berlaku Masa Berlaku
STR SIP / SIK penerbitan
penerbitan STR STR SIP/SIK
SIP/SIK

P2T/9663/03.02/01/XII/ 12/18/2017 12/1/2022

2017

P2T 1/5/2018 2/13/2023

189/03.02/01/I/2018

16 01 5 2 1 18- 8/31/2018 8/13/2023

1569981
06/432.302/YANPRIM/SIP
16 04 5 2 1 17- 4/6/2017 3/19/2022 DG/VI/2019
2058339 6/13/2019 3/19/2022
P2T/140/03.03/01/V/20 5/27/2016 03/432.301/REGDIT/SIKP/I 9/26/2016
16 X/2016
P2T/140/03.03/01/V/20 5/27/2016 10.4/432.301/REGDIT/SIKB 10/24/2016
16 /X/2016
P2T/631/03.01/01/V/20 2/12/2014 4/15/2024 10.5/432.301/REGDIT/SIKB 10/24/2016 4/15/2019
19 /X/2016
P2T/4217/03.01/01/III/2 3/30/2015 2/27/2020 10.7/432.301/REGDIT/SIKB 10/24/2016 2/27/2020
015 /X/2016
P2T/8556/03.01/XII/201 12/19/2012 5/25/2022 10.6/432.301/REGDIT/SIKB 10/24/2016 5/25/2022
2 /X/2016
P2T/55/03.13/01/IX/201 9/9/2014
4

16 13 6 2 1 17- 10/12/2017 6/20/2022 03/432.302/YANPRIM/SIP- 7/5/2019 6/20/2022

2144760 E/VII/2019
P2T/81/03.11/01/IV/201 4/8/2015 12/24/2020 01/432.301/REGDIT/SIPM/ 12/5/2016 12/24/2020
5 XII/2016

16 10 5 2 1 17- 4/4/2017 2/20/2022 2/20/2022

2058100

P2T/2998/03.02/02/VII/ 7/18/2019 8/20/2024

2019

10.229/432.302/YANPRIM 10/30/2018 3/15/2021

/SIKP/X/2018
P2T/754/03.02/02/XI/20 11/3/2016 9/3/2021 10.48/432.301/REGDIT/SIK 11/28/2016 9/3/2021
16 P/XI/2016
16 01 7 2 1 16-1148266 4/15/2016 7/10/2021 08.197/432.302/YANPRIM 8/7/2016 7/10/2021
/SIKP/VIII/2019
16 01 5 2 2 17- 10/4/2017 4/12/2022
1429651
 Nama Fasyankes Ketenagaan

RSU Mohammad Noer

Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
CPNS proses SIK
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
Proses SIK
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan CPNS proses SIK

RSU Mohammad Noer

Pamekasan CPNS proses SIK
 Status
NO. NIP/NIPTT Nama Jenis Kelamin Kepega Jenis Profesi
waian
159 102.6-13041994- Perempuan BLUD non
012016-7890 Amalia Hidayati, Amd.RMIK PNS PEREKAM MEDIS

160 102.6-25011994- Perempuan BLUD non PEREKAM MEDIS

012016-7891 Suciati Nuraini, Amd.RMIK PNS
161 102.6-05051991- Laki-Laki BLUD non
012016-7892 Ach. Karim Imaduddin, Amd PNS FISIOTERAPIS

162 Laki-Laki MOU DOKTER Sp.

dr. Aceng Apandi, Sp.An ANASTESI
163 Laki-Laki MOU DOKTER Sp.
dr. Moh. Ariful Munir, Sp.PD PENYAKIT DALAM
164 Laki-Laki MOU DOKTER Sp. PARU
dr. Syaiful Hidayat, Sp.P

165 Perempuan MOU DOKTER Sp.

dr. Median Pertamawati, Sp.Rad RADIOLOGI
166 Perempuan MOU DOKTER Sp.
dr. Amelia Ina Sadiati, S.JP JANTUNG
167 Perempuan MOU DOKTER Sp.
dr. Siti Hotimah, Sp.PK PATOLOGI KLINIK
168 Laki-Laki MOU DOKTER Sp.
dr. Ahmad Faizal Amir, Sp.JP JANTUNG
 Tanggal
Tanggal Masa Berlaku Masa Berlaku
STR SIP / SIK penerbitan
penerbitan STR STR SIP/SIK
SIP/SIK
03/432.301/REGDIT/SIPM/ 12/5/2016
XII/2016
P2T/269/03.11/01/XI/20 11/9/2015 1/25/2020 02/432.301/REGDIT/SIPM/ 12/5/2016 1/25/2020
15 XII/2016
02/432.301/REGDIT/SIPF/I 4/6/2016
V/2016
33.1.1.501.3.19.095601 4/29/2019 2/2/2024 54/432.302/YANPRIM/SIP 5/14/2019 2/2/2024
D/V/2019
35.1.1.401.3.15.000439 12/10/2015 12/10/2020 63/432.302/REGDIT/SIPD/ 28/11/2016 12/10/2021
XI/2016
31.1.1.604.3.15.077916 10/25/2015 10/25/2020 57.1/432.301/REGDIT/SIP 26/10/2015 10/25/2020
D/X/2015
35.2.1.503.3.16.032661 8/23/2016 6/19/2022 45.02/432.302/REGDIT/SIP 26/09/2016 6/19/2021
D/IX/2016
35.2.1.402.3.16.093858 3/18/2016 7/31/2021 43/432.302/REGDIT/SIPD/I 16/09/2016 7/31/2021
X/2016
35.2.1.502.4.19.029115 1/9/2019 11/9/2023 63/432.302/REGDIT/SIPD/ 10/12/2015 11/9/2020
XII/2015
35.1.1.402.3.16.065695 11/14/2016 4/19/2022 62/432.301/YANPRIM/SIP 5/23/2019 4/19/2022
D/V/2019

Pamekasan, 22 Agustus
Mengetahui,
Direktur
RSU MOHAMMAD NOER PA

dr. NONO IFANTONO,M

Pembina
NIP. 19680313 200212 1
 Nama Fasyankes Ketenagaan

RSU Mohammad Noer

Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan
RSU Mohammad Noer
Pamekasan

Pamekasan, 22 Agustus 2019

Mengetahui,
Direktur
U MOHAMMAD NOER PAMEKASAN

dr. NONO IFANTONO,MMRS

Pembina
NIP. 19680313 200212 1 005