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

Dr. Evan Corlee Moore, MD

Individual provider Emergency Medicine Physician · NPI 1205053063

Dr. Evan Corlee Moore, MD is a Critical Care (Intensivists) in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2005, 21 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
21
Trained at
University of Utah School of Medicine
Licensed in
UT
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

5121 S Cottonwood St
Salt Lake City, UT 84107-5701
Phone: (801) 910-3595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 7372509-1205 (UT)

Record details

NPI number1205053063
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2007
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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