Provider Demographics
NPI:1982746525
Name:MATTHEW K ABELE, MD PC
Entity Type:Organization
Organization Name:MATTHEW K ABELE, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:KARL
Authorized Official - Last Name:ABELE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-939-6890
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17874207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51516475ABEOtherBCBS AL#1528CARRAWAYBHAM
AL51516471ABEOtherBCBS AL#-JASPER
AL51516548ABEOtherBCBS OF AL #-WINFIELD
AL51516547ABEOtherBCBS AL# 10TH AVES-BHAM
AL51516471ABEOtherBCBS AL#-JASPER
ALF33059Medicare UPIN