Provider Demographics
NPI:1275974891
Name:KALMAR, GARRETT (DPM)
Entity Type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:
Last Name:KALMAR
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 OLENTANGY RIVER RD
Mailing Address - Street 2:STE 120
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3119
Mailing Address - Country:US
Mailing Address - Phone:614-291-5555
Mailing Address - Fax:614-291-7720
Practice Address - Street 1:1275 OLENTANGY RIVER RD
Practice Address - Street 2:STE 120
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3119
Practice Address - Country:US
Practice Address - Phone:614-291-5555
Practice Address - Fax:614-291-7720
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36003744213E00000X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0159293Medicaid
OH0159293Medicaid
OHH348020Medicare PIN