Edward P Vopat, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0874 Issued in SD

Practice address

2201 Jackson Blvd
100
Rapid City, SD 57702-4386

Phone

(605) 755-2273

Fax

(605) 755-3902

NPI assigned

Jun 12, 2006

Last updated

Mar 11, 2014By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Radiology Associates Prof, LLC

  dba Dakota Radiology

  • Diagnostic Radiology Physician
  • Rapid City, SD
  • NPI 1093772527
  NPD (past)
• Regional Health Physicians Inc

  dba Hill City Regional Medical Clinic

  • Multi-Specialty Clinic/Center
  • Hill City, SD
  • NPI 1063458263
  NPD (past)
• Aspen Leaf Sports Medicine and Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Boulder, CO
  • NPI 1528157526
  NPD (past)
• Intermountain Front Range, Inc.

  dba Lutheran Hospital - Breast Care Center

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1619706249
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1619919503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN CHRISTIE MSS",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017350",
            "telephone_number": "303-467-4155",
            "fax_number": "303-467-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 JACKSON BLVD",
            "address_2": "100",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024386",
            "telephone_number": "605-755-2273",
            "fax_number": "605-755-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOPAT",
        "first_name": "EDWARD",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "393",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "970004830",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7393002",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Virgil Voigt, M.D.
• Sydney Renee Volesky, SLP
• Barb Volker
• Brittny Vollmer
• Macey Vonberge
• Danielle Sabo Vrooman, PT, DPT
• Blake Wadsworth
• Kierstan Marie Wadsworth, PT, DPT
• Ashley Lynn Wagner, CNP
• Dustin R Wagner

• Physician Assistant in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.