Active NPI
Medical Logic Inc
- Oxygen Equipment & Supplies (DME)
- Gulfport, MS
National Provider Identifier
1386934719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 9884
- Legal business name
- MEDICAL LOGIC INC
- Practice address
- 9454 Three Rivers Rd Ste H
Gulfport, MS 39503-4294 - Phone
- (228) 863-3331
- Fax
- (228) 863-3392
- NPI assigned
- Apr 19, 2011
- Organization subpart
- Yes
- Parent organization
- AEROCARE HOLDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Russalesi
- Title
- Cco/Ao
- Phone
- (484) 246-9499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 9884 | MS | Primary |
Addresses
Primary practice location
9454 Three Rivers Rd Ste H
Gulfport, MS 39503-4294
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other names 1
- AdaptHealth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111011000518 | MS | DME Supplier - Medical Supply Company | 6002088341 | Practice locations: Gulfport, MS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medical Logic Inc | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators (NMES)/Suppl… | Does not accept assignment |
National Provider Directory
National Provider Directory- Part of
- Adapthealth West LLC
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
- NPI 1982298345
Member Of
-
- Oxygen Equipment & Supplies (DME)
- Colorado Springs, CO
- NPI 1912947383
Member Of
Locations
9454 Three Rivers Rd
Ste H
Gulfport, MS 39503
Phone (228) 863-3331
9506 Creosote Rd
Gulfport, MS 39503
9454 Three Rivers Rd
Ste Gh
Gulfport, MS 39503
16175A Landon Rd
Gulfport, MS 39503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760486400000",
"number": "1386934719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E NORTH LN STE 5075",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9454 THREE RIVERS RD STE H",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034294",
"telephone_number": "228-863-3331",
"fax_number": "228-863-3392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL LOGIC INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AEROCARE HOLDINGS LLC",
"enumeration_date": "2011-04-19",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A",
"authorized_official_last_name": "RUSSALESI",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "CCO/AO",
"authorized_official_telephone_number": "484-246-9499"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MS",
"license": "9884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AdaptHealth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.