Logos Medical Supply Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

156245 Issued in PA

Legal business name

LOGOS MEDICAL SUPPLY INC.

Practice address

5070 Parkside Ave
Suite 5100W
Philadelphia, PA 19131-4747

Phone

(215) 452-5701

Fax

(215) 452-0443

NPI assigned

Mar 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Wilcher

Title

President

Phone

(215) 452-5701

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1235254947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 PARKSIDE AVE",
            "address_2": "SUITE 5100W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314747",
            "telephone_number": "215-452-5701",
            "fax_number": "215-452-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 PARKSIDE AVE",
            "address_2": "SUITE 5100W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314747",
            "telephone_number": "215-452-5701",
            "fax_number": "215-452-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGOS MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "WILCHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-452-5701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "156245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020765750001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne Yolanda Logan, LCSW
• Susan Logan, CRNA
• Jazmin A Logendra, O.D.
• Logic Eyecare Inc
• Lia S Logio, MD
• Mia Logsdon, PA-C
• Susan Logsdon, LSW, M. ED
• Emily Logue, PA-C
• Andrew J Loh, M.D.
• Rebecca Loh

• Customized Equipment (DME) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.