Healthcare Provider Details

I. General information

NPI: 1558773713
Provider Name (Legal Business Name): TODD WILLIAM SCHLOSSMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 LYNDHURST AVE
WINSTON SALEM NC
27103-4007
US

IV. Provider business mailing address

3001 LYNDHURST AVE
WINSTON SALEM NC
27103-4007
US

V. Phone/Fax

Practice location:
  • Phone: 336-765-0383
  • Fax: 336-768-1737
Mailing address:
  • Phone: 336-765-0393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number27746
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2026-04032
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberDR0066362
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2026-04032
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: