Individual provider Active NPI

John Prokop, D.O.

  • Family Medicine Physician
  • Belpre, OH
National Provider Identifier
1396108676
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013935 Issued in OH
Practice address
805 Farson St Ste 116
Belpre, OH 45714-1000
Phone
(740) 423-3255
Fax
(740) 423-3236
NPI assigned
Apr 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34.013935 OH Primary

Addresses

Primary practice location

805 Farson St Ste 116
Belpre, OH 45714-1000

Mailing address

416 Colegate Dr BLDG 3
Marietta, OH 45750-9549
Phone (740) 374-3526

Other practice location 1

805 Farson St Ste 115
Belpre, OH 45714-1000
Phone (740) 423-3201

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address john.prokop@mmhs.medicity.net
Direct Messaging Address john.prokop@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930002584 OH Practitioner - Family Practice 1254610819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

805 Farson St
Suite 116
Belpre, OH 45714-1000
Phone (740) 423-3255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.013935OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital Single Specialty CurrentSince Nov 8, 2021 Accepting new patients
Marietta Memorial Hospital Single Specialty CurrentSince Nov 8, 2021 Accepting new patients

Locations

805 Farson St
Ste 115
Belpre, OH 45714
Phone (740) 423-3201

805 Farson St
Ste 116
Belpre, OH 45714
Phone (740) 423-3207

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

Interoperability endpoints

  • Direct secure messaging: johnprokop@mfpi.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1396108676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLEGATE DR BLDG 3",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509549",
            "telephone_number": "740-374-3526",
            "fax_number": "740-374-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FARSON ST STE 116",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141000",
            "telephone_number": "740-423-3255",
            "fax_number": "740-423-3236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Farson St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141000",
            "country_code": "US",
            "telephone_number": "740-423-3201",
            "fax_number": "740-423-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROKOP",
        "first_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-03",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.prokop@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "805 Farson St Ste 115",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.prokop@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "805 Farson St Ste 116",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

Verify at the official NPI Registry.