Active NPI
Steven Buster Vopat, M.D.
- Surgery Physician
- Cloquet, MN
National Provider Identifier
1861439168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 38760
- Practice address
- 512 Skyline Blvd
Cloquet, MN 55720-3787 - Phone
- (218) 878-7626
- Fax
- (218) 878-7650
- NPI assigned
- Jun 2, 2006
- Last updated
- Jan 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 38760 | MN | Primary |
Addresses
Primary practice location
512 Skyline Blvd
Cloquet, MN 55720-3787
Mailing address
512 Skyline Blvd
Cloquet, MN 55720-3787
Phone (218) 878-7626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38760 | MN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1861439168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 SKYLINE BLVD",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557203787",
"telephone_number": "218-878-7626",
"fax_number": "218-878-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 SKYLINE BLVD",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557203787",
"telephone_number": "218-878-7626",
"fax_number": "218-878-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOPAT",
"first_name": "STEVEN",
"middle_name": "BUSTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "38760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.