Organization Active NPI

M S Tiger Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Potsdam, NY
National Provider Identifier
1336238112
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
M S TIGER INCORPORATED
Doing business as
DBA HARRIS MEDICAL
Practice address
63 Market St
Potsdam, NY 13676-1870
Phone
(315) 265-0623
Fax
(315) 268-0750
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mary S Foster
Title
President
Phone
(315) 265-0623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

63 Market St
Potsdam, NY 13676-1870

Mailing address

63 Market St
P.O. Box 663
Potsdam, NY 13676-1779
Phone (315) 265-0623

Other identifiers 1

IdentifierTypeStateIssuer
01406817MedicaidNY

Other names 1

  • DBA HARRIS MEDICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930016664 NY DME Supplier - Medical Supply Company 8325250871 Practice locations: Potsdam, NY

National Provider Directory

National Provider Directory

Locations

71 Market St
Potsdam, NY 13676
Phone (315) 265-0623

63 Market St
Potsdam, NY 13676
Phone (315) 265-0623

22 Depot St
Ste 45
Potsdam, NY 13676
Phone (315) 265-0623

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1336238112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MARKET ST",
            "address_2": "P.O. BOX 663",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761779",
            "telephone_number": "315-265-0623",
            "fax_number": "315-268-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MARKET ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761870",
            "telephone_number": "315-265-0623",
            "fax_number": "315-268-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M S TIGER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-265-0623"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01406817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA HARRIS MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.