Provider Demographics
NPI:1881654978
Name:DOSS, JOHN RICHARD (MD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:RICHARD
Last Name:DOSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 751
Mailing Address - Street 2:
Mailing Address - City:HULBERT
Mailing Address - State:OK
Mailing Address - Zip Code:74441-0751
Mailing Address - Country:US
Mailing Address - Phone:918-772-2879
Mailing Address - Fax:918-772-1233
Practice Address - Street 1:1500 E DOWNING ST STE 208
Practice Address - Street 2:
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-3234
Practice Address - Country:US
Practice Address - Phone:918-456-2496
Practice Address - Fax:918-456-7108
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK14397207V00000X
ARC4588207V00000X
TXN8644207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX281034301Medicaid
OK100073650AMedicaid
AR145846001Medicaid
AR5M013OtherARK BLUECROSS
TXTXB125932Medicare Oscar/Certification