Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Evan Thomas Moore, PA-C

Individual provider Physician Assistant · NPI 1629794417

Evan Thomas Moore, PA-C is a Physician Assistant in Monroeville, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4075 Monroeville Blvd Ste 125
Monroeville, PA 15146-2526
Phone: (412) 373-1717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1629794417
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 13, 2022
Last updated in NPPESJune 5, 2024
Certification dateAugust 3, 2023
Mailing address4200 Boston Ct Apt 105, Monroeville, PA 15146-5334

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