RUTH KURNIAWATI PA-C
NPI 1669898565
Physician Assistant in Springfield, MA

Active since March 16, 2014
50 WASON AVE, SPRINGFIELD, MA 01107(413) 794-2222(413) 794-1666 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ruth Kurniawati Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUTH KURNIAWATI PA-C (NPI 1669898565) is an individual physician assistant in Springfield, Massachusetts, licensed in Massachusetts (PA4974) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1669898565
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRUTH KURNIAWATICredential: PA-C
Location Address50 WASON AVESpringfield, MA 01107-1132
Mailing Address3640 Main St 103Springfield, MA 01107-1139 · (413) 785-5321 · Fax (413) 731-7130
Fax(413) 794-1666
Sole ProprietorNo
Enumeration DateMarch 16, 2014
Last NPPES UpdateDecember 3, 2015
NPI 1669898565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA4974
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
50 WASON AVE, Springfield, MA 01107

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
50 WASON AVE
SPRINGFIELD, MA 01107
Pediatrics
50 WASON AVE
SPRINGFIELD, MA 01107
Pediatrics
50 WASON AVE
SPRINGFIELD, MA 01107
Dietitian, Registered (Nutrition, Pediatric)
50 WASON AVE, 1ST FLOOR
SPRINGFIELD, MA 01107
Student in an Organized Health Care Education/Training Program
50 WASON AVE
SPRINGFIELD, MA 01107
Pediatrics
50 WASON AVE
SPRINGFIELD, MA 01107
Pediatrics
50 WASON AVE
SPRINGFIELD, MA 01107
Pediatrics
50 WASON AVE
SPRINGFIELD, MA 01107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruth Kurniawati's NPI number?

The NPI number for Ruth Kurniawati is 1669898565. It was assigned to this individual provider in the NPPES registry on March 16, 2014.

Where is Ruth Kurniawati located?

Ruth Kurniawati practices at 50 Wason Ave, Springfield, MA 01107. The listed phone number is (413) 794-2222.

What is Ruth Kurniawati's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ruth Kurniawati was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.