Provider Demographics
NPI:1922280080
Name:FRANK S. MOLE, DPM
Entity Type:Organization
Organization Name:FRANK S. MOLE, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-596-8800
Mailing Address - Street 1:2440 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-1251
Mailing Address - Country:US
Mailing Address - Phone:413-596-8800
Mailing Address - Fax:413-599-1296
Practice Address - Street 1:2440 BOSTON RD
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1251
Practice Address - Country:US
Practice Address - Phone:413-596-8800
Practice Address - Fax:413-599-1296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1910213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0702676Medicaid
MA10112548OtherCDPHP
MA001910OtherCONNECTICARE
MA14533OtherHEALTH NEW ENGLAND
MA98161701OtherNETWORK HEALTH
MA030001910MA01OtherANTHEM
MA480013360OtherRAILROAD MEDICARE
MA27-00921OtherEVERCARE
MA74373OtherFIRST HEALTH
MA4255592OtherAETNA
MA76343OtherUS HEALTHCARE
MA001910OtherTUFTS
MA2704384OtherUNITED HEALTHCARE
MA9147847OtherPHCS
MA000000026339OtherBMC HEALTHNET
MA33934OtherHARVARD PILGRIM
MA0853120001Medicare NSC
MA33934OtherHARVARD PILGRIM
MA0702676Medicaid