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

Jackson Walter Deere, MD

Individual provider Otolaryngology Physician · NPI 1497311369

Jackson Walter Deere, MD is an Otolaryngology in North Logan, Utah. Graduated from University of Texas Southwestern Medical School at Dallas in 2019, 7 years ago. Practices with Cache Valley Ear Nose and Throat, PLLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
UT
In the registry since
2019
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

2245 N 400 E Ste 301
North Logan, UT 84341-1892
Phone: (435) 753-7880
Fax: (435) 753-5845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 — (319) 356-2201

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 13768482-1205 (UT)

Record details

NPI number1497311369
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2019
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address2245 N 400 E Ste 301, North Logan, UT 84341-1892

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2019 (7 years in practice)
Group practice Cache Valley Ear Nose And Throat, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Logan