Organization Active NPI

Wind Gate Wellness, LLC

  • Acupuncturist
  • Baltimore, MD
National Provider Identifier
1962866772
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02310 Issued in MD
Legal business name
WIND GATE WELLNESS, LLC
Practice address
42 E Cross St
Baltimore, MD 21230-4025
Phone
(724) 494-5051
NPI assigned
Apr 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Robert Allan Prokop Jr., MAC, CHNPI 1609230424
Title
Acupuncturist
Phone
(724) 494-5051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Other practice location 2

1421 Clarkview Rd
#206
Baltimore, MD 21209-2133
Phone (724) 494-5051

National Provider Directory

National Provider Directory

Locations

1421 Clarkview Rd
Ste 206
Baltimore, MD 21209
Phone (410) 627-4890

42 E Cross St
Baltimore, MD 21230
Phone (724) 494-5051

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1962866772",
    "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"
        },
        {
            "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": {
        "organization_name": "WIND GATE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "PROKOP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "724-494-5051",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MAC, CH"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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.

Verify at the official NPI Registry.