MEDICARE: JOAN CATHERINE ABELE MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	93-169747-1205	UT

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10703	OTHER	UT	DMBA
2	8187	OTHER	UT	PEHP
3	1502954	OTHER	UT	UMWA
4	703	OTHER	UT	HEALTHY U
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	107004843101	OTHER	UT	IHC
7	8597445	OTHER	UT	WORKERS COMP FUND
8	870545614AB1	OTHER	UT	EDUCATORS
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	PRA06346	OTHER	UT	MOLINA
11	QM0000075886	OTHER	UT	ALTIUS
12	Z51320	OTHER	UT	OUT OF STATE BCBS
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	2090168	OTHER	UT	UNITED HEALTHCARE
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1730193053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN CATHERINE ABELE MD

Provider Business Mailing Address
First Line	:	3340 NORTH CENTER ST
Second Line	:	#800
City	:	LEHI
State	:	UT
Zip	:	84043-7406
Country	:	US
Telephone Number	:	801-990-1911
Fax Number	:	801-990-1912

Provider Business Practice Location Address
First Line	:	5121 S COTTONWOOD STREET
Second Line	:	INTERMOUNTAIN MEDICAL CENTER
City	:	MURRAY
State	:	UT
Zip	:	84157
Country	:	US
Telephone Number	:	801-507-5248
Fax Number	:	801-733-5618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	10/15/2012