KELLY MARIE WILLMAN (NPI# 1013177153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013177153 |
Entity Type | Individual |
Full Name | KELLY MARIE WILLMAN |
Credential | M.D. |
Practice Address |
1925 Pacific Ave Trauma Department Atlantic City NJ 08401-6713 |
Practice Telephone | 6094418023 |
Practice Fax Number | 6094418178 |
Mailing Telephone | 6094418023 |
Mailing Fax Number | 6094418178 |
Enumeration Date | 2008-06-12 |
Last Update Date | 2014-03-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
25MA09130300 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
1925 PACIFIC AVE TRAUMA DEPARTMENT |
City | ATLANTIC CITY |
State | NJ |
Zip Code | 08401-6713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053310615 | Atlantic Pathologists PC | Pathology | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2005-07-17 |
1336746882 | Lorraine Isler Alcantara | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-10-07 |
1487261285 | Aziza Lee Jadallah | Physician Assistant | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-09-25 |
1336757426 | Areej Lalani | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-15 |
1841817947 | Anum Shoaib Khan | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-06 |
1205453545 | Shil Shah | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-02 |
1700415015 | Maryam Hussain | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-04-07 |
1518596527 | Saima Mili | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-04-02 |
1508492737 | Elizabeth Parks | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-03-19 |
1588297378 | Aneta Savine | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-02-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
1922597947 | Kara Nicole Bonsera | Nurse Practitioner | 1801 Atlantic Ave Fl 3, Atlantic City, NJ 08401 | 2018-05-04 |
1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
1265874051 | Mary K. Wilsbach | Social Worker | 1401 Atlantic Ave.suite 2200, Healthplex, Atlanticare Ambulatory Care Services;, Atlantic City, NJ 08401 | 2013-07-23 |
1326388133 | Atlantic City Board of Education | Local Education Agency (LEA) | 1300 Atlantic Avenue, 5th Floor, Atlantic City, NJ 08401 | 2013-02-15 |
1972818656 | Mittal H. Patel | Pharmacist | 1723 Pacific Ave, Atlantic City, NJ 08401 | 2010-08-18 |
1689803900 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2109 Atlantic Ave., Ste. 1016, Atlantic City, NJ 08401 | 2009-07-08 |
1750536850 | Joel G. Weiss | Dentist | 3822 Ventnor Ave, Atlantic City, NJ 08401 | 2008-11-18 |
1982879631 | Angela Butcher | Nurse's Aide | 401 North Martin Luthur King Blvd, Atlantic City, NJ 08401 | 2008-04-24 |
Find all providers in zip 08401 |
Taxonomy Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609137348 | Christopher Alan Butts | Surgery | 125 Paterson St Ste 6300, New Brunswick, NJ 08901 | 2012-05-30 |
1265452221 | Bruno Molino | Surgery | Jersey City Medical Center, Dept. of Surgery, 355 Grand Street, Jersey City, NJ 07302 | 2006-07-20 |
1689606956 | Liberty Surgical Associates | Surgery | 377 Jersey Avenue, Suite 220, Jersey City, NJ 07302-4396 | 2006-07-07 |
1376572198 | Richard Edward Constable | Surgery | 655 Amboy Ave Ste C, Woodbridge, NJ 07095-3159 | 2006-07-02 |
1396799565 | Vincent Lavaughn Moss | Surgery | 98 James St 202, Edison, NJ 08820-3902 | 2006-05-20 |
1356730873 | Nikolas Sebastian Kappy | Surgery | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2015-01-21 |
1609215029 | Amanda Liane Teichman | Surgery | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2013-06-19 |
1477825891 | Tanya Egodage | Surgery | 1 Cooper Plz, Camden, NJ 08103-1461 | 2012-01-31 |
1083907224 | Capital Health Surgical Group | Surgery | 40 Fuld St, Suite 303, Trenton, NJ 08638-5247 | 2011-05-20 |
1679884431 | Anna Goldenberg | Surgery | 1 Cooper Plz, Camden, NJ 08103-1461 | 2010-06-27 |
Find all providers with the same taxonomy |
City | ATLANTIC CITY |
Zip Code | 08401 |
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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.