Active NPI
Cheryl Willman, MD
- Clinical Pathology/Laboratory Medicine Physician
- Albuquerque, TX
National Provider Identifier
1124035175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 85-126
- Practice address
- 2325 Camino de Salud NE
Unm Cancer Research - Treatment Center
Albuquerque, TX 87131 - Phone
- (505) 272-5622
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 85-126 | TX | Primary |
Addresses
Primary practice location
2325 Camino de Salud NE
Unm Cancer Research - Treatment Center
Albuquerque, TX 87131
Mailing address
2325 Camino de Salud NE
Msc08 4630
Albuquerque, TX 87131
Phone (505) 272-5622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85-126 | TX | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124035175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 CAMINO DE SALUD NE",
"address_2": "MSC08 4630",
"city": "ALBUQUERQUE",
"state": "TX",
"postal_code": "87131",
"telephone_number": "505-272-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 CAMINO DE SALUD NE",
"address_2": "UNM CANCER RESEARCH - TREATMENT CENTER",
"city": "ALBUQUERQUE",
"state": "TX",
"postal_code": "87131",
"telephone_number": "505-272-5622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLMAN",
"first_name": "CHERYL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "TX",
"license": "85-126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.