Joan Catherine Abele, MD

Individual provider Active NPI Anesthesiology Physician · Murray, UT

NPI 1730193053 · NPPES record last updated Oct 15, 2012

Key facts

NPI
1730193053
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
93-169747-1205 (UT)
Practice address
5121 S Cottonwood Street
Intermountain Medical Center
Murray, UT 84157
Phone
(801) 507-5248
Fax
(801) 733-5618
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93-169747-1205UTMDAnesthesiology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 93-169747-1205 UT Yes

Addresses

Primary practice location

5121 S Cottonwood Street
Intermountain Medical Center
Murray, UT 84157

Mailing address

3340 North Center St
#800
Lehi, UT 84043-7406
Phone (801) 990-1911

Other identifiers

IdentifierTypeStateIssuer
10703OtherUTDMBA
8187OtherUTPEHP
1502954OtherUTUMWA
703OtherUTHEALTHY U
101416100MedicaidWY
107004843101OtherUTIHC
8597445OtherUTWORKERS COMP FUND
870545614AB1OtherUTEDUCATORS
000169400MedicaidID
PRA06346OtherUTMOLINA
QM0000075886OtherUTALTIUS
Z51320OtherUTOUT OF STATE BCBS
002088833MedicaidNV
2090168OtherUTUNITED HEALTHCARE
821703MedicaidAZ

Other providers in Murray, UT

All providers in Murray, UT · Anesthesiology Physician in Utah

Sources for this page

Verify at the official NPI Registry.