Provider Demographics
NPI:1093777302
Name:TOOLE, FRANK J III (PA)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:J
Last Name:TOOLE
Suffix:III
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 BEACH ST
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891
Mailing Address - Country:US
Mailing Address - Phone:401-596-9039
Mailing Address - Fax:401-596-8750
Practice Address - Street 1:81 BEACH ST
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891
Practice Address - Country:US
Practice Address - Phone:401-596-9039
Practice Address - Fax:401-596-8750
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPA00242363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIN170172Medicaid
979006084OtherMEDICARE PA PTAN
RI209082059Medicare PIN