YULIUS LEONARD HARYADI (NPI# 1164943635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164943635 |
| Entity Type | Individual |
| Full Name | YULIUS LEONARD HARYADI |
| Credential | MD |
| Practice Address |
10 Members Way Fl 5 Dover NH 03820-5933 |
| Mailing Address |
789 Central Ave Dover NH 03820-2526 |
| Practice Telephone | 6036096800 |
| Practice Fax Number | 6036096820 |
| Mailing Telephone | 6036096800 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 20209 | NH | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 20209 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3123048 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 355 Ridge Ave, Evanston, IL 602023328 | 8473164000 | 8473163307 |
| 789 Central Ave, Dover, NH 038202526 | 6037402503 | 6037402497 |
| Street Address |
10 MEMBERS WAY FL 5 |
| City | DOVER |
| State | NH |
| Zip Code | 03820-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490276 | Pamela Schultze | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2005-10-11 |
| 1336751825 | Wentworth Douglass Physician Corporation | Pharmacist | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2020-08-18 |
| 1174061170 | Jade A O'donovan | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2017-02-09 |
| 1295109684 | Sarah Eckenberger | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2015-11-23 |
| 1215310529 | Sujata Shrestha | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2015-07-06 |
| 1609146562 | Jennifer Brown Christiansen | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2012-01-10 |
| 1043517485 | Kathleen Conway | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2011-02-22 |
| 1750695607 | Donna K Pare | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2010-08-03 |
| 1093897753 | Alison M Sollee | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2006-10-20 |
| 1811079585 | Randall S Zielinski | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| 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 |
|---|---|---|---|---|
| 1396013439 | Edward P Crouch IIi | Internal Medicine | 100 Liberty Way, Dover, NH 03820-4597 | 2011-12-04 |
| 1114183654 | Sharon Monet Sifford-wilson | Internal Medicine | 38 Chadwick Dr, Dover, DE 19901-5827 | 2008-08-04 |
| 1083830947 | Ihsan Mustafa Uygur | Internal Medicine | 66 East Mcfarlan St, Dover, NJ 07801 | 2007-04-18 |
| 1568596039 | Joseph Michael Deutsch | Internal Medicine | 640 S. State Street, Internal Medicine Residency, Dover, DE 19901-3530 | 2007-03-15 |
| 1568525376 | Ashok Patel,md Pa | Internal Medicine | 1055 S Bradford St, Dover, DE 19904-4141 | 2006-12-19 |
| 1659467512 | Internal Medicine Clinic, Ltd | Internal Medicine | 335 Oxford St Ste C, Dover, OH 44622-1970 | 2006-10-05 |
| 1295835742 | Eva E Cerny | Internal Medicine | 1177b S Governors Ave, Dover, DE 19904-6903 | 2006-09-25 |
| 1851499867 | Family Health Center At Dover PC | Internal Medicine | 375 E Mcfarlan St, Dover, NJ 07801 | 2006-09-21 |
| 1518063858 | Veronica Alice Cerny | Internal Medicine | 1177a South Governors Ave, Dover, DE 19904-6903 | 2006-09-15 |
| 1144325408 | Joseph E Bryan | Internal Medicine | 300 Medical Park, Dover, OH 44622 | 2006-09-13 |
| Find all providers in DOVER | ||||
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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.