Active NPI
Robert Allan Prokop Jr., MAC, CH
- Acupuncturist
- Baltimore, MD
National Provider Identifier
1609230424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02310
- Practice address
- 42 E Cross St
Baltimore, MD 21230-4025 - Phone
- (724) 494-5051
- NPI assigned
- Apr 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U02310 | MD | Primary |
Addresses
Primary practice location
42 E Cross St
Baltimore, MD 21230-4025
Mailing address
3112 Barclay St
Baltimore, MD 21218-3413
Other practice location 1
1421 Clarkview Rd
#206
Baltimore, MD 21209-2133
Phone (724) 494-5051
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U02310 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wind Gate Wellness, LLC | Acupuncturist | Past | Accepting new patients |
| Pikeville Medical Center Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Acupuncturist
- Baltimore, MD
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1609230424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3112 BARCLAY ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212183413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E CROSS ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212304025",
"telephone_number": "724-494-5051"
}
],
"practiceLocations": [
{
"address_1": "1421 Clarkview Rd",
"address_2": "#206",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212092133",
"country_code": "US",
"telephone_number": "724-494-5051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROKOP",
"first_name": "ROBERT",
"middle_name": "ALLAN",
"name_suffix": "Jr.",
"credential": "MAC, CH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.