Med Way Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MED WAY MEDICAL, INC

Practice address

5929 Fashion Point Dr Ste 103
South Ogden, UT 84403-4683

Phone

(801) 566-0567

NPI assigned

Jun 18, 2025

Organization subpart

No

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

Authorized official

Name

Wendy Russalesi

Title

Chief Compliance Officer

Phone

(484) 246-9499

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Med Way Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
  • NPI 1962438358

  5193929065

  Same PAC ID

These 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

Tax ID family

Med Way Medical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Med Way Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
  • NPI 1962438358
  NPD tax ID
• Med Way Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • Meridian, ID
  • NPI 1932820750
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Med Star Surgical & Breathing Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
  • NPI 1003239740

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1740177328",
    "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": "194282233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 FASHION POINT DR STE 103",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034683",
            "telephone_number": "801-566-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED WAY MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "RUSSALESI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "484-246-9499"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willard Z Maughan, M.D.
• Krace Conner Maw
• Addi Maycock, RBT
• Abigail McBride, RBT
• Karen McBride, CNM
• Medical Mobile Imaging, LLC
• Violet Clara Merten
• Brian D Miles, D.M.D.
• Candace Miles
• Julia Miller, RBT

• Durable Medical Equipment & Medical Supplies in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.