Active NPI
Douglas Matthew Partanen, PHYSCIAN ASSISTANT
- Medical Physician Assistant
- Fort Belvoir, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110002298
- Practice address
- 9501 Farrell Rd
Fort Belvoir, VA 22060-5901 - Phone
- (703) 805-0599
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Medical Physician Assistant | 363AM0700X | 0110002298 | VA | Primary |
Addresses
Primary practice location
9501 Farrell Rd
Fort Belvoir, VA 22060-5901
Mailing address
177 Millrace Rd
Stafford, VA 22554-8534
Phone (540) 226-7391
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidmed Inc. | Current | Accepting new patients |
Locations
4687 Pouncey Tract Rd
Glen Allen, VA 23059
Phone (804) 422-5437
8356 Bell Creek Rd
Mechanicsville, VA 23116
Phone (804) 559-5437
5021 Craig Rath Blvd
Bldg Iv
Midlothian, VA 23112
Phone (804) 422-5437
20 Doc Stone Rd
Stafford, VA 22556
Phone (540) 602-7766
Interoperability endpoints
- douglaspartanen@kidmed.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1649261819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 MILLRACE RD",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225548534",
"telephone_number": "540-226-7391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 FARRELL RD",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605901",
"telephone_number": "703-805-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTANEN",
"first_name": "DOUGLAS",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "PHYSCIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110002298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.