Provider Type Icon

SOUTHWEST WYOMING ENT INC NPI 1730335423


NPI Information

NPI: 1730335423
Provider Name: SOUTHWEST WYOMING ENT INC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 53D1096282

Address:
191 OVERTHRUST RD
EVANSTON, WY
ZIP 82930
Phone: (307) 789-8721
Get Directions

SOUTHWEST WYOMING ENT INC is an otolaryngology in Evanston, WY. The provider is 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. SOUTHWEST WYOMING ENT INC NPI is 1730335423. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

191 OVERTHRUST RD
EVANSTON, WY
ZIP 82930-261
Phone: (307) 789-8721
Fax: (307) 789-8664

The provider's authorized official is Jason P Haack .
The authorized official title is Owner and has the following contact phone number (307) 789-8721.

The CLIA number assigned to this NPI record is 53D1096282 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2008 and was last updated on 10/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YS0123XOtolaryngologyFacial Plastic SurgeryNo
2207Y00000XOtolaryngologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.