Provider Demographics
NPI:1255387585
Name:ABELE, MATTHEW KARL (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:KARL
Last Name:ABELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 10TH AVE S
Mailing Address - Street 2:SUITE 501
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1200
Mailing Address - Country:US
Mailing Address - Phone:205-939-6890
Mailing Address - Fax:205-939-6895
Practice Address - Street 1:2700 10TH AVE S
Practice Address - Street 2:SUITE 501
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1200
Practice Address - Country:US
Practice Address - Phone:205-939-6890
Practice Address - Fax:205-939-6895
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17874207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51516548ABEOtherBC/BS WINFIELD
AL51516547ABEOtherBC/BS MAIN OFFICE/BHM
AL51516475ABEOtherBC/BS 1528 CARRAWAY-BHM
AL51516471ABEOtherBC/BS JASPER
AL51516471ABEOtherBC/BS JASPER
051516547ABEMedicare ID - Type Unspecified