Provider Demographics
NPI:1952488173
Name:SCHLOSSER, MATTHEW M (DPM)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:M
Last Name:SCHLOSSER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 VICTORIA RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4449
Mailing Address - Country:US
Mailing Address - Phone:828-252-1183
Mailing Address - Fax:828-252-1184
Practice Address - Street 1:86 VICTORIA RD BLDG A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4449
Practice Address - Country:US
Practice Address - Phone:828-252-1183
Practice Address - Fax:828-252-1184
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC109213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08165OtherBLUE CROSS BLUE SHIELD
NC8908165Medicaid
NC243056AMedicare ID - Type Unspecified
NC8908165Medicaid