Penny W. Kallmyer, M.D., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01041481 Issued in IN

Legal business name

PENNY W. KALLMYER, M.D., P.C.

Practice address

6640 Parkdale PL
Suite U
Indianapolis, IN 46254-5619

Phone

(317) 291-5190

Fax

(317) 291-1510

NPI assigned

Feb 24, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Penny Kallmyer, M.D.NPI 1538256920

Title

M.D.

Phone

(317) 291-5190

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Penny Elizabeth Kallmyer, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1538256920
  NPD (past) Authorized official
• Timothy Michael Eisenhut, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1396832887
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1700150679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 PARKDALE PL",
            "address_2": "SUITE U",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545619",
            "telephone_number": "317-291-5190",
            "fax_number": "317-291-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 PARKDALE PL",
            "address_2": "SUITE U",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545619",
            "telephone_number": "317-291-5190",
            "fax_number": "317-291-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY W. KALLMYER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "KALLMYER",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "317-291-5190",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01041481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200010530B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David E Pennington II, MD
• Elizabeth Ellen Pennington, MA, BCBA
• Kaitlin Leeanne Pennington, SLP
• Olivia Nicole Pennington
• Robert Edward Pennington Jr., MD
• Terika Pennyman
• Jennifer April Penrod
• Marcy Marie Penrod, MSN, AGPC-NP
• Anne Lanford Penrosa, BCBA
• Colin Thomas Penrose, M.D.

• Pediatrics Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.