Shirley Prasetyo Buntoro, DO
Shirley Prasetyo Buntoro, DO is a Family Practice in Sayre, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.
- Years since qualifying
- 6
- Licensed in
- TX
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
Sayre, PANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 3802 Manhatton Dr, Tyler, TX 75701-9451 — (903) 509-8888
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence U4752 (TX) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1831727239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | March 31, 2020 |
| Last updated in NPPES | July 19, 2023 |
| Certification date | July 19, 2023 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Christus Trinity Clinic — 1531 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 5 on file with Medicare |
Other providers in Sayre
-
Dr. Sanuja Bose, MD
Student / training record Sayre, PA
-
Natalie Errika Bourdakos
Student / training record Sayre, PA
-
Karla Cecilia Bracho, MD
Student / training record Sayre, PA
-
Anna Bui, MD
Student / training record Sayre, PA
-
Meghan Alexandra Callahan, DO
Student / training record Sayre, PA
-
Austin Wade Cannoy
Student / training record Sayre, PA
-
Michael Christopher Carinha, MD
Student / training record Sayre, PA
-
Tegan Rhea Carlson
Student / training record Sayre, PA