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

Jason P Haack, MD

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1407832728

Jason P Haack, MD is an Otolaryngology in Evanston, Wyoming. Graduated from University of Washington School of Medicine in 2002, 24 years ago. Practices with Southwest Wyoming ENT Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
24
Trained at
University of Washington School of Medicine
Licensed in
WY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

191 Overthrust Rd
Evanston, WY 82930-9261
Phone: (307) 789-8721
Fax: (307) 789-8664
Show map & directions

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

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 7953A (WY)

Record details

NPI number1407832728
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 19, 2005
Last updated in NPPESMarch 15, 2017

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Southwest Wyoming Ent Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount