Evan Thomas Moore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4075 Monroeville Blvd Ste 125
Monroeville, PA 15146-2526

Phone

(412) 373-1717

NPI assigned

Oct 13, 2022

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: evan.t.moore@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virginia Urgent Care LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Fredericksburg, VA
  • NPI 1487838652
  Medicare reassignment
• Children's Community Care

  • Pediatrics Physician
  • Wexford, PA
  • NPI 1659339547
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1629794417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BOSTON CT APT 105",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151465334",
            "telephone_number": "740-278-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 MONROEVILLE BLVD STE 125",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462526",
            "telephone_number": "412-373-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EVAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2024-06-05",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroeville Volunteer Fire Dept. #5
• Karen Montgomery, PH.D., M.ED., NCC
• Laura Suzanne Montini
• Brian Fredrick Moore, M.D.
• Brian Richard Moore, RPH
• Kimberly Moore
• Valerie Lynn Moore, PT
• Tammy Moran
• Vickie Lynn Moran, RPH
• Moreland Counseling & Consulting Group LLC

• Physician Assistant in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.