Ruth Kurniawati, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA4974 Issued in MA

Practice address

50 Wason Ave
Springfield, MA 01107-1132

Phone

(413) 794-2222

Fax

(413) 794-1666

NPI assigned

Mar 16, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1669898565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071139",
            "telephone_number": "413-785-5321",
            "fax_number": "413-731-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WASON AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071132",
            "telephone_number": "413-794-2222",
            "fax_number": "413-794-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURNIAWATI",
        "first_name": "RUTH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-16",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen E Kupfer, M.D.
• Liubov Kurbanova
• Tamara Kurbanova, MD
• Emin Kurbanzade
• Sreedhar Kurma, M.D.
• Greta Kurtz
• Jeremy Kurtz, DO
• Sydney Elizabeth Kurtz, DO
• Aimee Kurtzhaltz, M.ED.
• Anthony Edward Kusiak, M.D.

• Physician Assistant in Springfield, MA
• Providers in Springfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.