EVAN ROBERT MOORE (NPI# 1699982496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699982496 |
| Entity Type | Individual |
| Full Name | EVAN ROBERT MOORE |
| Credential | M.D. |
| Practice Address |
5020 E 68th St Tulsa OK 74136-3307 |
| Practice Telephone | 9184923636 |
| Mailing Telephone | 9184923636 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2012-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 28974 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757509 | Evan Moore | Counselor | 1490 N. Lafayette St, Suite 108, Denver, CO 80218-2391 | 2020-07-14 |
| 1548870934 | Evan C Moore | Nurse Practitioner | 924 N Country Club Dr, Mesa, AZ 85201-4108 | 2020-07-31 |
| 1548828916 | Evan S Moore | Dentist | 201 N Dalton St, Madison, NC 27025-1903 | 2019-05-31 |
| 1366922858 | Evan K Moore | Physical Therapy Assistant | 5665 Creekside Forest Dr, Spring, TX 77389-4969 | 2018-08-15 |
| 1902240559 | Evan Michael Moore | Plastic Surgery | 1401 Harrodsburg Rd Ste B75, Lexington, KY 40504-1724 | 2013-04-25 |
| 1205053063 | Evan Corlee Moore | Emergency Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2007-04-20 |
| Street Address |
5020 E 68TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065331 | Anthony Edward Loehr | Otolaryngology | 5020 E 68th St, Tulsa, OK 74136-3307 | 2005-07-07 |
| 1730797143 | Akhilandeshwari Sivaswami | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2020-07-22 |
| 1790298115 | Mary Michelle Ballard | Audiologist-Hearing Aid Fitter | 5020 E 68th St, Tulsa, OK 74136-3307 | 2017-11-07 |
| 1033633078 | Kyle Andrew Harber | Audiologist-Hearing Aid Fitter | 5020 E 68th St, Tulsa, OK 74136-3307 | 2017-08-01 |
| 1497282826 | Eastern Oklahoma Ear, Nose, and Throat | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2017-05-16 |
| 1356898712 | Megan D. Ellwood | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2016-09-02 |
| 1194114884 | Megan Laine Moritz | Physician Assistant | 5020 E 68th St, Tulsa, OK 74136-3307 | 2015-01-18 |
| 1497169734 | Landon Joseph Massoth | Otolaryngology | 5020 E 68th St, Tulsa, OK 74136-3307 | 2014-06-15 |
| 1306283635 | Jessica Bever | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2013-05-28 |
| 1790044980 | Osu Center for Health Sciences | Clinic/Center | 5020 E 68th St, Tulsa, OK 74136-3307 | 2012-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255687638 | Richmond Jay Brownson | Otolaryngology | 7906 E 55th Street, Tulsa, OK 74145 | 2012-08-03 |
| 1972737641 | Tulsa Only Choice Inc | Otolaryngology | 2705 E Skelly Dr Ste 111, Tulsa, OK 74105-6239 | 2009-05-11 |
| 1497979686 | Tulsa Ear Nose and Throat Center, PC | Otolaryngology | 8803 S 101st East Ave Ste 165, Tulsa, OK 74133-5750 | 2007-04-12 |
| 1134109358 | Michael B Shaw | Otolaryngology | 4230 W 83rd St, Tulsa, OK 74132-3020 | 2006-01-23 |
| 1972593622 | Tom A Hamilton | Otolaryngology | 6802 S Olympia Ave Ste 200, Tulsa, OK 74132-1826 | 2005-10-25 |
| 1154310555 | William H Hawkins | Otolaryngology | 6802 S Olympia Ave W, Suite 200, Tulsa, OK 74132-1823 | 2005-10-18 |
| 1245229657 | Bruce E Hudkins | Otolaryngology | 6802 S Olympia Ave West, Ste 200, Tulsa, OK 74132 | 2005-10-18 |
| 1164422408 | Alen Munson Fuller | Otolaryngology | 1725 E 19th St, Suite 100, Tulsa, OK 74104-5437 | 2005-07-28 |
| 1366441115 | Jerry Hanson Puckett | Otolaryngology | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2005-07-14 |
| 1528065331 | Anthony Edward Loehr | Otolaryngology | 5020 E 68th St, Tulsa, OK 74136-3307 | 2005-07-07 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.