Parnell Charles Mattison, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

050860 Issued in GA

Practice address

9501 Farrell Road
Pediatric Service
Fort Belvoir, VA 22060

Phone

(703) 805-0531

Fax

(703) 805-9024

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1801887732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 BLUE JASMINE CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532128",
            "telephone_number": "703-455-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 FARRELL ROAD",
            "address_2": "PEDIATRIC SERVICE",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "703-805-0531",
            "fax_number": "703-805-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "PARNELL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "050860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Mathew, PHARM.D
• Matthew R Matiasek, MD
• Megan Matters, DNP
• Gary Norman Matteson, M.D.
• Ebony Monique Matthews
• Douglas Mark Maurer, D.O.
• Jeffrey Paul Mawhinney, D.O.
• Sylvia May, DNP, FNP-C
• John Mayo, M.D.
• Vicki Lynn McCarthy, LCSW

• Pediatrics Physician in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.