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

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
Show map & directions

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
Mailing address5020 E 68th St, Tulsa, OK 74136-3307

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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