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

Dr. Michael Shane Moore Jr., DO

Individual provider Anesthesiology Physician · NPI 1871975425

Dr. Michael Shane Moore Jr., DO is an Anesthesiology in Tulsa, Oklahoma. Qualified in 2015, 11 years ago. Practices with Utb Anesthesia PLLC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
11
Licensed in
OK
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

744 W 9th St
Tulsa, OK 74127-9020
Phone: (918) 599-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6161 S Yale Ave, Tulsa, OK 74136-1902 — (918) 494-0612

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 6031 (OK)

Record details

NPI number1871975425
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 19, 2015
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023
Mailing address744 W 9th St, Tulsa, OK 74127-9020

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Utb Anesthesia Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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