Airway Oxygen Inc
Organization Active NPI Oxygen Equipment & Supplies (DME) · Traverse City, MI
NPI 1417033853 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1417033853
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- Legal business name
- AIRWAY OXYGEN INC
- Practice address
- 1396 Trade Centre Dr
Unit B
Traverse City, MI 49696 - Phone
- (231) 932-0399
- Fax
- (231) 932-0453
- NPI assigned
- Oct 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AEROCARE HOLDINGS, INC.
Authorized official
- Name
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 16
Member of 2
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Airway Oxygen Inc |
Commodes, Urinals, Bedpans|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutch… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930014367 | MI | DME Supplier - Medical Supply Company With Respiratory Therapist |
7517085749 | Practice locations: Traverse City, MI |
National Provider Directory
- Tax ID family
- Airway Oxygen Inc
- Part of
- Aerocare Holdings Inc
Locations
1396 Trade Centre Dr
Unit B
Traverse City, MI 49696
Phone (231) 932-0399
1364 Trade Centre Dr
Traverse City, MI 49696
Phone (231) 932-0399
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Yes |
Addresses
Primary practice location
1396 Trade Centre Dr
Unit B
Traverse City, MI 49696
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540D10642 | Other | MI | BLUE CROSS/BLUE SHIELD |
| 5019426 | Medicaid | MI |
Other providers in Traverse City, MI
- Troy W Ahlstrom
- Jacqueline Michele Aicher
- Donald James Aiken
- Breanne Aird
- Airstation Traverse City
- Meredith Aja
- Sara Aja
- Clifford Alan
- Ali Alateya
- Brian Albarado
All providers in Traverse City, MI · Oxygen Equipment & Supplies (DME) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.