KELLY MARIE WILLMAN


Address: 1925 Pacific Ave, Trauma Department, Atlantic City, NJ 08401-6713
Phone: 6094418023

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0127X Surgery
Specialization: Trauma Surgery
25MA09130300 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 1925 PACIFIC AVE
TRAUMA DEPARTMENT
City ATLANTIC CITY
State NJ
Zip Code 08401-6713

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

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/.

Providers in the same taxonomy and state

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
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Competitor

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City ATLANTIC CITY
Zip Code 08401

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Dataset Information

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.

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