Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan Robert Moore, MD

Individual provider Otolaryngology Physician · NPI 1699982496

Evan Robert Moore, MD is an Otolaryngology in Tulsa, Oklahoma. Qualified in 2007, 19 years ago. Practices with Eastern Oklahoma Ear Nose and Throat Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
19
Licensed in
OK
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5020 E 68th St
Tulsa, OK 74136-3307
Phone: (918) 492-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 28974 (OK)

Record details

NPI number1699982496
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESMay 18, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Eastern Oklahoma Ear Nose And Throat Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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