Provider Demographics
NPI:1558389205
Name:SCHLOSSER, MICHELLE LORRAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LORRAINE
Last Name:SCHLOSSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:TRABERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-2501
Mailing Address - Fax:717-461-7178
Practice Address - Street 1:13515 WOLFE RD
Practice Address - Street 2:SUITE C
Practice Address - City:NEW FREEDOM
Practice Address - State:PA
Practice Address - Zip Code:17349-9346
Practice Address - Country:US
Practice Address - Phone:717-812-2501
Practice Address - Fax:717-461-7178
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073205L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1314049OtherHIGHMARK BLUE SHIELD
PA01069902OtherCAPITAL BLUE CROSS-WMG
PA20005819OtherAMERIHEALTH MERCY-WMG
PA293988OtherMAMSI-WMG
PAP002832OtherGATEWAY-WMG
PA001863312Medicaid
PA012738OtherJOHNS HOPKINS
PA7453501OtherAETNA
PA112880OtherUNISON-WMG
PA100480OtherGEISINGER
PA2007746000OtherAMERIHEALTH 65 PA
PA30153618OtherAMERIHEALTH CARITAS PA - WMG - THFPC
MD612003OtherCAREFIRST MD BCBS
PA293988OtherMAMSI-WMG
PA112880OtherUNISON-WMG
PA052238FLTMedicare PIN