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SOUTHWEST WYOMING ENT INC
NPI 1730335423
Otolaryngology in Evanston, WY

Active since August 13, 2008CLIA 53D1096282 · Waiver
191 OVERTHRUST RD, EVANSTON, WY 82930(307) 789-8721(307) 789-8664 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southwest Wyoming Ent Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST WYOMING ENT INC (NPI 1730335423) is a healthcare organization registered as an otolaryngology in Evanston, Wyoming and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Jason P Haack, Owner, as its authorized official.

NPPES Registry Identity

NPI1730335423
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSOUTHWEST WYOMING ENT INC
Location Address191 OVERTHRUST RDEvanston, WY 82930-9261
Mailing Address191 Overthrust RdEvanston, WY 82930-9261 · (307) 789-8721 · Fax (307) 789-8664
Phone(307) 789-8721
Fax(307) 789-8664
Organization SubpartNo
Authorized OfficialJason P HaackOwner · (307) 789-8721
Enumeration DateAugust 13, 2008
Last NPPES UpdateOctober 24, 2013
✔ NPI 1730335423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X
191 OVERTHRUST RD, Evanston, WY 82930
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D1096282

Southwest Wyoming Ent, Inc · Evanston, WY
Active · expires Mar 1, 2027
CLIA Number53D1096282
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorDr. Jason P. Haack
Laboratory Phone(307) 789-8721
Laboratory LocationSouthwest Wyoming Ent, Inc191 Overthrust Rd, Evanston, WY 82930
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JARED BRECK BARTON M.D.
Surgery
191 OVERTHRUST RD
EVANSTON, WY 82930
Uinta County (307) 789-8721
HIGH DESERT PSYCHOLOGY AND WELLNESS
Clinic/Center (Mental Health (Including Community Mental Health Center))
191 OVERTHRUST RD
EVANSTON, WY 82930
Uinta County (435) 631-9918
ADAM K FULLER PH.D.
Psychologist (Clinical)
191 OVERTHRUST RD
EVANSTON, WY 82930
Uinta County (435) 631-9918
BAILEY JENSEN FNP-BC
Nurse Practitioner (Family)
191 OVERTHRUST RD
EVANSTON, WY 82930
Uinta County (307) 789-8721
JASON P HAACK M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
191 OVERTHRUST RD
EVANSTON, WY 82930
Uinta County (307) 789-8721
CORRIE CARVER FNP-BC
Nurse Practitioner (Family)
191 OVERTHRUST RD
EVANSTON, WY 82930
Uinta County (307) 789-8721
UINTA HEALTH LAB, LLC
Clinical Medical Laboratory
191 OVERTHRUST RD
EVANSTON, WY 82930
Uinta County (307) 789-8721
BARKER FAMILY HEALTH, LLC
Nurse Practitioner (Family)
191 OVERTHRUST RD
EVANSTON, WY 82930
Uinta County (307) 789-8721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Wyoming Ent Inc's NPI number?

The NPI number for Southwest Wyoming Ent Inc is 1730335423. It was assigned to this organization in the NPPES registry on August 13, 2008.

Where is Southwest Wyoming Ent Inc located?

Southwest Wyoming Ent Inc is located at 191 Overthrust Rd, Evanston, WY 82930. The listed phone number is (307) 789-8721.

What is Southwest Wyoming Ent Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does Southwest Wyoming Ent Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D1096282) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southwest Wyoming Ent Inc accept?

Health plans from Blue Cross Blue Shield of Wyoming list Southwest Wyoming Ent Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southwest Wyoming Ent Inc was last updated on October 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.