GUNARDI NYOTO IRAWAN (NPI# 1053752832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053752832 |
| Entity Type | Individual |
| Full Name | GUNARDI NYOTO IRAWAN |
| Credential | M.D. |
| Practice Address |
1 W Boylston St Worcester MA 01605-1265 |
| Practice Telephone | 5088542636 |
| Mailing Telephone | 5088542636 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 269613 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
1 W BOYLSTON ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-1265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063809002 | Luna Hidaya | Internal Medicine | 1 W Boylston St, Worcester, MA 01605-1265 | 2015-04-16 |
| 1770846578 | Access To Health Chiropractic LLC | Chiropractor | 1 W Boylston St, Suite Ll06, Worcester, MA 01605-1265 | 2012-06-18 |
| 1235447822 | Grove Street Chiropractic, Inc. | Chiropractor | 1 W Boylston St, Ll03, Worcester, MA 01605-1265 | 2010-09-17 |
| 1205077716 | Rita J Semaan | Internal Medicine | 1 W Boylston St, Suite 206, Worcester, MA 01605-1265 | 2009-03-12 |
| 1578716338 | Abraham Ballah | Nurse Practitioner | 1 W Boylston St, Suite 206, Worcester, MA 01605-1265 | 2008-10-24 |
| 1609082346 | Thomas Lee Hedstrom | Dentist | 1 W Boylston St, Suite 203, Worcester, MA 01605-1265 | 2007-05-16 |
| 1841348596 | Andrew George Wheelock | Chiropractor | 1 W Boylston St, Worcester, MA 01605-1265 | 2007-01-08 |
| 1962503938 | Paul Grenier | Chiropractor | 1 W Boylston St, Ll03, Worcester, MA 01605-1265 | 2006-09-25 |
| 1841238136 | Sheryn M Angelis | Internal Medicine | 1 W Boylston St, Worcester, MA 01605-1265 | 2006-06-02 |
| 1871569756 | Edward F Driscoll | Internal Medicine | 1 W Boylston St, Worcester, MA 01605-1265 | 2006-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886235 | Elizabeth Muhia | Internal Medicine | 19 Crown St Apt 15, Worcester, MA 01609-2097 | 2020-09-18 |
| 1821614892 | Lyndia Personnat | Internal Medicine | 123 Summer St Ste 200, Worcester, MA 01608-1216 | 2020-06-24 |
| 1871007344 | Shekhar Patil | Internal Medicine | 123 Summer St Ste 120, Worcester, MA 01608-1216 | 2017-11-20 |
| 1770036451 | Gyu Cheol Choi | Internal Medicine | 1 W Boylston St # 2700, Worcester, MA 01605-1265 | 2016-07-28 |
| 1528449311 | Jyothi Margapuri | Internal Medicine | 55 Lake Ave N Apt A16, Worcester, MA 01655-0002 | 2015-06-17 |
| 1972935070 | Vernon Integrative Medical Group, LLC | Internal Medicine | 141 Massasoit Rd, Worcester, MA 01604-3318 | 2013-07-31 |
| 1437461092 | Mohammed Mohaialdeen Mohammed | Internal Medicine | 285 Plantation St, Worcester, MA 01604-7701 | 2010-07-11 |
| 1447561204 | Samson H Hanka | Internal Medicine | 102 Shore Dr Ste 303, Worcester, MA 01605-3154 | 2010-06-27 |
| 1972823870 | Chidimma I Okoli | Internal Medicine | 100 Grove St Ste 210, Worcester, MA 01605 | 2010-06-03 |
| 1750548996 | Abdulkadir Omer | Internal Medicine | 123 Summer St Ste 535, Worcester, MA 01608-1216 | 2008-05-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.