Provider Demographics
NPI:1710950308
Name:DOSS, WILLIAM LAFAYETTE (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LAFAYETTE
Last Name:DOSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-1069
Mailing Address - Country:US
Mailing Address - Phone:202-865-6679
Mailing Address - Fax:
Practice Address - Street 1:2041 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-1069
Practice Address - Country:US
Practice Address - Phone:202-865-1183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-62562081P2900X, 208100000X
DCMD5000028912081P2900X
NC9501527208100000X
VA0101053048208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA-017OtherTRICARE/CHAMPUS
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherVIRGINIA HEALTH NETWORK
VA006803237Medicaid
NC05904OtherMEDICAID BC BS
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherCIGNA
10007082OtherSENTARA/OPTIMA
VA60453OtherSENTARA OPTIMA
VAPAROtherMULTIPLAN
NC05904OtherBCBSNC
VAPAROtherAETNA
NC7905904Medicaid
932610OtherUHC/MAMSI
VAPAROtherUSA MANAGED CARE
VAPAROtherCORVEL/CORCARE
VA278149OtherANTHEM BC BS
VAPAROtherCIGNA
NCNC9215AMedicare PIN
VAPAROtherVIRGINIA HEALTH NETWORK
932610OtherUHC/MAMSI
VA000828E82Medicare PIN