DOKTER SPESIALIS RUMAH SAKIT SATYA NEGARA

STATUS SURAT TANDA REGISTRASI (S

NO NAMA DOKTER SPESIALIS SIP STR
FT/PT NOMOR STR
1 1 Prof. dr. Dr. Satyanegara, MD, Sp.BS Bedah Saraf √ √ PT 9911105420007179

2 2 dr. Ibnu Benhadi, Sp.BS Bedah Saraf √ √ PT 3111105317059901

3 3 dr. Taufan Budi S, Sp.BS Bedah Saraf √ √ PT 3111105318012643

4 4 dr. Astri Avianti, Sp.BS Bedah Saraf √ √ PT 3221105420063478

5 5 dr. Raka Janitra, Sp.BS Bedah Saraf √ √ PT 1211105319125734

6 1 dr. Lilie Lalisang, SpS Saraf √ PT 3221605316037685

7 2 dr. Dewi Hastuty, SpS Saraf √ PT

8 3 dr. Agus Yuda Wijaya, SpS Saraf √ √ PT 3311605316036513

9 4 dr. Debby Amelia, SpS Saraf √ √ PT 3221605319087370

10 1 dr. Stevanus Lesnussa, SpB Bedah Umum √ PT 1311101316025951

11 2 dr. Daniel A. Soeselo, SpB, Msi.Med Bedah Umum √ √ PT 3311101419024077

12 3 dr. Michael Lapian, SpB Bedah Umum √ √ PT 3111101316014839

13 4 dr. Iwan Irawan Karman, SpB Bedah Umum √ √ PT 7311101418085904

14 5 dr. Sasangka Haning Rahadyan Tyas W, SpB Bedah Umum √ √ PT 7111101318090440

15 1 dr. Andreas Andri, SpB, SpB-TKV (dokter konsultan) Bedah Thoraks PT

16 1 dr. Dedy Pratama Syamsul B D, SpKV (dokter konsultan) Bedah Vaskuler √ √ PT 311110102316064268

17 1 dr. Minarti, SpB-KBD Bedah Digestive √ PT 3121101320101181

18 2 dr. Sugiharto Purnomo, SpBD-KBD Bedah Digestive PT

19 1 dr. Iman Firmansyah, SpPD, KPTI, FINASIM Penyakit Dalam √ PT 3111401316016360

20 2 dr. Imansyah Ali, SpPD, SpKL, FINASIM Penyakit Dalam √ √ PT 3111401316010934

21 3 dr. Joko Budiman, SpPD-KKV Penyakit Dalam √ PT 3111401420023717

22 4 dr. R. Onny Q Sandiyo, SpPD, FINASIM Penyakit Dalam √ √ PT 35114011316008724

23 5 dr. Kustedi Rafli, SpPD Penyakit Dalam √ PT 3111401316021014

24 6 dr. Andi Agus D Marwan, SpPD-KR Penyakit Dalam √ √ PT 7311401316065009

25 7 dr. Maria Aulia, Sp.P.D Penyakit Dalam √ PT 5121401316090614

26 1 dr. Agustinus Nico Granada, SpAn Anestesi √ √ PT 9911501420093544

27 2 dr. Erica Gilda M S, SpAn Anestesi √ √ PT 3521501316062101

28 3 dr. R. Noor Tjahyo Handojo, SpAn Anestesi √ √ PT 9911501316037987

29 4 dr. Ranjan Kumar, SpAn Anestesi √ √ PT 3111501316027814

30 5 dr. Tommy N. Tanumihardja, SpAn Anestesi √ PT 3111501421048875

Page 1 of 13
 SURAT TANDA REGISTRASI (S
NO NAMA DOKTER SPESIALIS SIP STR STATUS
FT/PT NOMOR STR
31 6 dr. Yehezkiel, Sp.An Anestesi PT

32 1 drg. Liesye Veronica Gigi √ √ PT 1222100316033733

33 2 drg. Henderjeta Regina Muskitta Gigi √ √ PT 3122100316018093

34 3 drg. Boby Gigi √ PT 1222100318083491

35 4 drg. Elyasani Irwanti Gigi √ PT 3122100216035709

36 5 drg. Gimawati Gigi √ √ PT 3122501316052507

37 6 drg. Ira Respati Marpaung Gigi √ √ PT 3122100316065186

38 7 drg. Risely Sutarsa Limirang Gigi √ √ PT 3122100219157233

39 8 drg. Hanni Handriani Gigi √ PT 3122100118205599

40 1 drg. Etty Soenartini, SpBM Bedah Mulut √ PT

41 2 drg. Thomas H Winangun, SpBM Bedah Mulut √ √ PT 3112301316004172

42 1 dr. Rahardjo W, SpP Paru √ √ PT 3111604317079018

43 2 dr. Ida Bagus Sila Wiweka, SpP Paru √ PT 3111604316041521

44 3 dr. Irwandi Rudiwan, SpP Paru √ PT 3111604316005646

45 1 dr. Aswin Surya Widjaja, SpRad Radiologi √ √ PT 9911503317109778

46 2 dr. Yanto Budiman Lim, SpRad Radiologi √ √ PT 3211503316025296

47 1 dr. Alexander Chandra, SpKK Kulit dan Kelamin √ PT 1211602317072836

48 2 dr. Lie Hardy Suwita, SpKK Kulit dan Kelamin √ √ PT 7311602316047916

49 1 dr. Ferry Darmawan, SpOG Obsgyn √ PT

50 2 dr. Kathleen Juanita, SpOG Obsgyn √ PT 3321301319004350

51 3 dr. Ronald Latuasan, SpOG Obsgyn √ PT 3111301317074306

52 4 dr. Robert Wijaya Lim, SpOG Obsgyn √ √ PT 7111301316003767

53 1 dr. Ali Umar Achmat, SpBA Bedah Anak PT

54 1 dr. Renya Hiasinta, SpA Anak √ √ PT 9921201418017155

55 2 dr. Rudi Hartono, SpA Anak √ √ PT 7111201316045741

56 3 dr. Ida Mardiati, SpA Anak √ √ PT 3121201316012602

57 4 dr. Christina, Sp.A Anak √ √ PT 1221201219127306

58 5 dr. Hery Dharmawan, DJAP, SpA Anak √ √ PT 7111201417001165

59 6 dr. Arief Gunadi, SpA (Dokter Tamu) Anak √ PT 7111201420108215

60 1 Nidya Dwika Puteri Psikologis Anak PT Dalam Proses

Page 2 of 13
 SURAT TANDA REGISTRASI (S
NO NAMA DOKTER SPESIALIS SIP STR STATUS
FT/PT NOMOR STR

62 1 dr. Firdianto, SpU Urologi PT

63 2 dr. Fatan Abshari, SpU Urologi √ √ PT 3111106318125301

64 1 dr. Gunawan Halim, SpKJ Kejiwaan √ √ PT 3111601317029978

65 2 dr. Hariwibowo Gunadi, SpKJ Kejiwaan √ √ PT 3111601316013331

66 1 dr. Asbudi, SpTHT THT PT

67 2 dr. Hastuti Rahmi, SpTHT THT PT
68 3 dr. Mira Amaliah, SpTHT THT √ PT

69 1 dr. Sanyoto Putro Pinardi, SpOT Orthopedi PT

70 2 dr. Prihardadi Turidho, SpOT Orthopedi √ √ PT 3511103316003613

71 3 dr. Handoko, SpOT Orthopedi √ √ PT 7311103319110345

72 1 dr. Juliaty Esther Doharta Siagian, SpJP, FIHA Jantung dan Pembuluh darah √ √ PT 3121402316064597

73 2 dr. William Sanjaya, SpJP Jantung dan Pembuluh darah √ √ PT 3111402316004591

74 3 dr. Soetandar, Sp.JP Jantung dan Pembuluh darah √ √ PT 7111402318090225

75 1 dr. Sigit Sugasrianto, SpM Mata PT 3311603215085079

76 2 dr. Panahatan Aritonang, SpM Mata √ PT 3111603316016575

77 1 dr. Harny Edward, SpPK Patologi Klinik √ √ PT 3121502316000283

78 1 dr. Sri Wuryanti, SpGK Gizi Klinik √ √ PT 9821701316030640

79 1 dr. Djaja Surya Atmadja, SpF Forensik PT

80 1 dr. Ita Kartika, SpRM Rehabilitasi Medik √ √ PT 3321608316045727

81 1 Katarina Ngatmi, Amd.TW, Spd Terapi Bicara √ √ PT 120652218-2223317

82 1 Prof. dr. Suzanna Immanuel, SpPK (K) PT

83 1 dr. Al Ichsan, Sp.PA Patologi Anatomik √ √ PT 3311704218120014

84 1 dr. Maria Valentine, SpBP-RE Bedah Plastik √ √ PT 3121104318109750

Page 3 of 13
ISTRASI (STR) SURAT IZIN PRAKTIK (SIP)
BERLAKU SAMPAI NOMOR BERLAKU SAMPAI
1-Dec-2025 14/B.15B/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2021 1-Dec-2025

8-Jul-2022 1/2.104/31.72.02/-1.779.3/e/2018 8-Jul-2022

18-Nov-2023 41/B.15b/31.72.02/-1.779.3/e/2018 18-Nov-2023

12-Sep-2025 91/B.15B/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2020 12-Sep-2025

7-Jul-2024 15/B.15/B/31.72.02.1006.04.052C.1/3/-1.779.3/e/2020 7-Jul-2024

18-Jan-2022 13/2.104/31.72.02/-1.779.3/e/2017 18-Jan-2022

54/B.15B/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2020 7-Feb-2025

26-Aug-2021 127/B.15B/31.72.02/-1.779.3/e/2018 26-Aug-2021

7-Oct-2023 33/B.15b/31.72.02/-1.779.3/e/2019 7-Oct-2023

17-Apr-2022 67/2.104/31.72.02/-1.779.3/e/2017 17-Apr-2022

15-Nov-2024 60/B.15b/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2019 15-Nov-2024

10-Sep-2021 26/2.104/31.72.02/-1.779.3/e/2016 10-Sep-2021

22-Oct-2023 20/B.15b/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2019 22-Oct-2023

29-Apr-2023 42/B.15B/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2021 29-Apr-2023

Konsultan

12-Jun-2022 145/2.104/31.71.04/-1.779.3/e/2016 12-Jun-2022

14-Jan-2026 Konsultan

Konsultan

30-Oct-2022 51/2.104/31.72.02/-1.779.3/e/2017 30-Oct-2022

31-May-2022 33/2.104/31.72.02/-1.779.3/e/2016 31-May-2022

14-Oct-2025

17-Sep-2021 55/2.104/31.72.02/-1.779.3/e/2016 17-Sep-2021

21-Sep-2021 20/2.104/31.72.02/-1.779.3/e/2016 21-Sep-2021

3-Aug-2022 119/2.104/31.72.02/-1.779.3/e/2017 3-Aug-2022

10-Jul-2021

17-Aug-2025 81/B.15B/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2020 17-Aug-2025

30-Dec-2021 30/2.104/31.72.02/-1.779.3/e/2017 31-Dec-2021

25-Nov-2021 12/2.104/31.72.02/-1.779.3/e/2017 25-Nov-2021

13-May-2022 42/B.15b/31.72.02/-1.779.3/e/2018 13-May-2022

10-Apr-2026 Konsultan

Page 4 of 13
ISTRASI (STR) SURAT IZIN PRAKTIK (SIP)
BERLAKU SAMPAI NOMOR BERLAKU SAMPAI

26-Jul-2022 5/2.103/31.72.02.1006/-1.779.3/e/2016 26-Jul-2022

31-Jul-2021 027/2.28.1/31.72.02.1006/-1.779.3/2016 13-Jul-2021

12-Aug-2023 8/B.15a/31.72.02.1006/-1.779.3/e/2018 12-Aug-2023

26-Feb-2022 4/2.103/31.72.02.1006/-1.779.3/e/2017 26-Feb-2022

4-Feb-2022 1/2.44/31.72.02/-1.779.3/e/2017 4-Feb-2022

29-May-2022 5/2.103/31.72.02.1006/-1.779.3/e/2017 29-May-2022

17-Nov-2024 26/B.15a/31.72.02.1006.04.052.C.1/4/-1.779.3/e/2019 17-Nov-2024

29-Nov-2023 37/B.15a/31.72.02.1006/-1.779.3/e/2018 29-Nov-2023

4/2.44/31.72.02/-1.779.3/e/2017 8-Jan-2022

24-Apr-2021 1417/2.30.1/31.72.02/-1.779.3/2016 24-Apr-2021

14-Jun-2022 32/2.104/31.72.02/-1.779.3/e/2017 14-Jun-2022

1-Jun-2022 78/2.104/31.72.02/-1.779.3/e/2016 1-Jun-2022

6-Feb-2022 1090/2.30.1/31.72.02/-1.779.3/2016 6-Feb-2022

28-Dec-2022 143/2.104/31.72.02/-1.779.3/e/2017 28-Dec-2022

18-Nov-2022 28/2.104/31.72.02/-1.779.3/e/2017 18-Nov-2022

21-Dec-2022 84/2.104/31.72.02/-1.779.3/e/2017 21-Dec-2022

23-Feb-2022 52/2.104/31.72.02/-1.779.3/e/2017 22-Feb-2022

49/B.15B/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2020 4-Jun-2025
15-Jun-2024 3/B.15b/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2019 15-Jun-2024

14-Dec-2022 50/2.104/31.72.02/-1.779.3/e/2017 14-Dec-2022

23-Oct-2022 52/B.15M/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2020 23-Oct-2022

Konsultan

29-Jan-2023 33/B.15b/31.72.02/-1.779.3/e/2018 29-Jan-2023

25-Jun-2022 37/2.104/31.72.02/-1.779.3/e/2016 25-Jun-2022

20-Jun-2021 8/2.104/31.72.02/-1.779/3/e/2016 20-Jun-2021

30-Aug-2024 84/B.15B/31.72.02.1006.04.052.C.1/3-1.779.3/e/2020 30-Aug-2024

8-May-2023 13/B.15B/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2021 8-May-2023

20-Jan-2025

02228-01/0204-14-2-2

Page 5 of 13
ISTRASI (STR) SURAT IZIN PRAKTIK (SIP)
BERLAKU SAMPAI NOMOR BERLAKU SAMPAI

Konsultan
15-Jan-2024 146/B.15b/31.72.02/-1.779.3/e/2018 15-Jan-2024

26-May-2022 48/2.104/31.72.02/-1.779.3/e/2017 26-May-2022

23-May-2022 1431/2.30.1/31.72.02/-1.779.3/2016 23-May-2022

Konsultan

Konsultan
137/2.104/31.72.02/-1.779.3/e/2017 28-Feb-2023

Konsultan
25-Mar-2022 1394/2.30.1/31.72.02/-1.779.3/2016 25-Mar-2022

15-May-2025 84/B.15b/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2019 15-May-2025

19-Jul-2022 149/2.104/31.72.02/-1.779.3/e/2017 29-Jul-2022

23-Apr-2022 1021/2.30.1/31.72.02/-1.779.3/2016 23-Apr-2022

16-Jan-2024 58/B.15B/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2020 16-Jan-2024

27-Jan-2020 609/2.30.1/31.72.02/-1.779.3/2015 27-Jan-2020

18-Jun-2022 80/2.104/31.72.02/-1.779.3/e/2016 18-Jun-2022

20-Jan-2021 77/2.104/31.72.02/-1.779.3/e/2017 20-Jan-2021

29-Aug-2021 28/2.104/31.72.02/-1.779.3/e/2016 29-Aug-2021

Konsultan

2-Nov-2021 34/2.104/31.72.02/-1.779.3/e/2016 2-Nov-2021

4-Jul-2023 1/B.22/31.72.02/-1.779.3/e/2018 4-Jul-2023

Konsultan

29-Mar-2023 4/B.15B/31.72.02.1006.04.052.C.1/3/-1.779.3/e/2021 29-Mar-2023

14-Feb-2024 65/B.15b/31.71.06/-1.779.3/e/2018 14-Feb-2024

Page 6 of 13
 DOKTER STRUKTURAL DAN DOKTER UMUM RUMAH SAKIT SATYA N

SURAT TANDA REGISTRASI (STR)

STATUS
NO NAMA SIP STR
FT/PT
NOMOR STR BERLAKU SAMPAI

1 dr. Paul Leonard Irawan, M.P.H FT

2 dr. Chitra Hetti Fatimah √ √ FT 3121100316037194 01 Desember 2021

3 dr. Pieter Johny Tiono √ √ FT 3111100117174809 02 Januari 2023

4 dr. Deasy Nurindah Sari √ FT 3121100318074313 01 Desember 2023

5 dr. Debie Chandra Gunawan √ √ FT 3121100118183738 10 Agustus 2023

6 dr. Hermy Apriyanti √ √ FT 3121100219139351 14 April 2024

7 dr. Indra Dinatha √ √ FT 3111100117174716 19 Februari 2023

8 dr. Azaria Sabrina Lie √ √ FT 3121100118186688 25 Februari 2024

9 dr. Jonathan Satryautama √ FT 3611100219145971 20-Aug-2024

10 dr. Dorothy Eugene Nindya Wiharjanto √ √ FT 3321100118185956 16 September 2023

11 dr. Alberthus Donni B.P √ √ FT 3411100119200180 07 November 2023

12 dr. Regina Enggeline √ √ FT 3121100118181175 10 Maret 2024

13 dr. Bob Arvianto √ √ FT 3111100119203121 08 November 2023

14 dr. Dhian Hidayat √ √ FT 7311100119205037 4 Agustus 2023

15 dr. Santoso Kurniawan, M.M √ √ PT 3111100317069903 25 Mei 2022

16 dr. Bernard Ibrata √ √ PT 3111100317077583 14 November 2022

17 dr. Lila Dewi √ √ PT 3121100317012499 01 Januari 2023

18 dr. Majin Wijaya √ √ PT 3311100316023711 21 Agustus 2021

19 dr. Rudy Suryanto Tantama √ √ PT 3111100317059514 19 Agustus 2022

Page 7 of 13
MAH SAKIT SATYA NEGARA

SURAT IZIN PRAKTIK (SIP)

NOMOR SIP BERLAKU SAMPAI

13/2.102/31.72.02.1006/-1.779.3/e/2017 01 Desember 2021

10/B.15a/31.72.02.1006/-1.779.3/e/2018 02 Januari 2023

- -

13/B.15a/31.72.02.1006/-1.779.3/e/2019 10 Agustus 2023

15a/31.72.02.1006.04.052.C1/4/-1.779.3/e/2019 14 April 2024

6/B.15a/31.72.02.1006/-1.779.3/e/2019 19 Februari 2023

2/B.15a/31.72.02.1006/-1.779.3/e/2019 25 Februari 2024

27/B.15a/31.72.02.1006.04.052.C.1/4/-1.779.3/e/2019 20-Aug-2024

7/B.15a/31.72.02.1006/-1.779.3/e/2019 16 September 2023

30/B.15a/31.72.02.1006.04.052.C.1/4/-1.779.3/e/2019 07 November 2023

11/B.15a/31.72.02.1006.04.052.C.1/4/-1.779.3/e/2019 10 Maret 2024

12/B.15A/31.72.02.1006.04.052.C.1/4/-1.779.3/e/2020 08 November 2023

8/B.15A/31.72.02.1006.04.052.C.1/4/-1.779.3/e/2020 4 Agustus 2023

12/2.102/31.72.02.1006/-1.779.3/e/2016 25 Mei 2022

28/2.102/31.72.02.1006/-1.779.3/e/2017 14 November 2022

42/2.102/31.72.02.1006/-1.779.3/e/2017 01 Januari 2023

6/2.102/31.72.02.1006/-1.779.3/e/2016 21 Agustus 2021

14/2.102/31.72.02.1006/-1.779.3/e/2017 19 Agustus 2022

Page 8 of 13
DOKTER SPESIALIS RS SATYA NEGARA YANG MENDAPATKAN GUARANTEE INCOME

No Nama Spesialis

1 dr. Fatan Abshari, SpU Urologi

2 dr. Kathleen Juanita, SpOG Obsgyn
3 dr. Djaja Surya Atmadja, SpF Forensik
4 dr. Gunawan Susanto, SpBS Bedah Saraf
5 dr. Ibnu Benhadi, SpBS Bedah Saraf
6 dr. Taufan Budi S, SpBS Bedah Saraf
7 dr. Astri Avianti, SpBS Bedah Saraf
8 dr. Yanto Budiman Lim, SpRad Radiologi
9 dr. Surahman Muin, SpPD Penyakit Dalam
10 dr. Rudi Hartono, SpA Anak
11 dr. Ida Mardiati, SpA Anak
12 dr. R. Noor Tjahyo Handojo, SpAn Anestesi
No Nama Dokter Spesialis

1 dr. Majin Wijaya Dokter Umum

2 dr. Jonathan Satryautama Dokter Umum
3 dr. Alberthus Donni B.P,
4 dr. Lilie Lalisang, SpS
5 dr. Dewi Hastuty, SpS
6 dr. Stevanus Lesnussa, SpB
7 dr. Minarti, SpB-KBD Bedah Digestive
8 dr. Sugiharto Purnomo, SpBD-KBD Bedah Digestive
9 dr. Iman Firmansyah, SpPD, KPTI, FINASIM Penyakit Dalam
10 dr. Joko Budiman, SpPD-KKV Penyakit Dalam
11 dr. Kustedi Rafli, SpPD Penyakit Dalam
12 dr. Surahman Muin, SpPD Penyakit Dalam
13 dr. Andi Agus D Marwan, SpPD-KR Penyakit Dalam
14 dr. Erica Gilda M S, SpAn Anestesi
15 dr. R. Noor Tjahyo Handojo, SpAn Anestesi
16 dr. Tommy N. Tanumihardja, SpAn Anestesi
17 drg. Liesye Veronica Gigi
18 drg. Henderjeta Regina Muskitta Gigi
19 drg. Boby Gigi
20 drg. Elyasani Irwanti Gigi
21 drg. Gimawati Gigi
22 drg. Ira Respati Marpaung Gigi
23 drg. Risely Sutarsa Limirang Gigi
24 drg. Hanni Handriani Gigi
25 drg. Etty Soenartini, SpBM Bedah Mulut
26 dr. Ida Bagus Sila Wiweka, SpP Paru
27 dr. Irwandi Rudiwan, SpP Paru
28 dr. Yanto Budiman Lim, SpRad Radiologi
29 dr. Alexander Chandra, SpKK Kulit dan Kelamin
30 dr. Lie Hardy Suwita, SpKK Kulit dan Kelamin
31 dr. Kathleen Juanita, SpOG Obsgyn
32 dr. Ronald Latuasan, SpOG Obsgyn
33 dr. Rudi Hartono, SpA Anak
34 Nidya Dwika Puteri Psikologis Anak
35 dr. Firdianto, SpU Urologi
36 dr. Asbudi, SpTHT THT
37 dr. Hastuti Rahmi, SpTHT THT
38 dr. Sanyoto Putro Pinardi, SpOT Orthopedi
39 dr. Prihardadi Turidho, SpOT Orthopedi
40 dr. Juliaty Esther Doharta Siagian, SpJP, FIHA Jantung dan Pembuluh darah
41 dr. William Sanjaya, SpJP Jantung dan Pembuluh darah
42 dr. Soetandar Jantung dan Pembuluh darah
43 dr. Sigit Sugasrianto, SpM Mata
44 dr. Panahatan Aritonang, SpM Mata
45 dr. Harny Edward, SpPK Patologi Klinik
46 dr. Djaja Surya Atmadja, SpF Forensik
Checklist SIP STR

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