Beth A. Toolan, MD

Key facts

NPI

1750360236

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

MD10016 (RI)

Practice address

40 Candace St
Providence, RI 02908-3747

Phone

(401) 444-0550

Fax

(401) 444-0425

NPI assigned

Jan 12, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Providence Community Health Centers, Inc Federally Qualified Health Center (FQHC) · Providence, RI · NPI 1053313593
  Medicare reassignment NPD RI
• The Providence Community Health Centers Inc. Federally Qualified Health Center (FQHC) · Providence, RI · NPI 1558650986
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2021.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1750360236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055010",
            "telephone_number": "401-444-0400",
            "fax_number": "401-444-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CANDACE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083747",
            "telephone_number": "401-444-0550",
            "fax_number": "401-444-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOLAN",
        "first_name": "BETH",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD10016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beth.toolan@providencechc.directbygreenway.com",
            "affiliation": "N",
            "address_1": "40 Candace St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029083747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

• Philip Tomlinson, PHARMACIST
• Andrew James Tompkins, M.D.
• Tim Tomy, MD
• Iris L Tong, MD
• Gail R Tonnessen, MSW
• Dina P Toolin, OTR/L
• Laurie Jane Toomey, PA-C
• Sean P. Toomey, NP
• Kimberly Arielle Topilow, PSYD
• Jessica Ann Amaral Torabi, CNP

All providers in Providence, RI · Pediatrics Physician in Rhode Island