Active NPI
Cletus Fonchingong CHI, RRT
- Emergency Care Registered Respiratory Therapist
- Liberty TWP, OH
National Provider Identifier
1770363335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Registered Respiratory Therapist
- Practice address
- 5664 Oakview Ter
Liberty TWP, OH 45011 - Phone
- (919) 884-1088
- NPI assigned
- Oct 2, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | RCP.14456 | OH | |
| Emergency Care Registered Respiratory Therapist | 2279E0002X | Primary |
Addresses
Primary practice location
5664 Oakview Ter
Liberty TWP, OH 45011
Mailing address
5664 Oakview Ter
Liberty TWP, OH 45011
Phone (919) 884-1088
Other names 1
- Cletus Fonchingong CHI
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 |
|---|---|---|---|
| RCP.14456 | OH | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1770363335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5664 OAKVIEW TER",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "45011",
"telephone_number": "919-884-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5664 OAKVIEW TER",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "45011",
"telephone_number": "919-884-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHI",
"first_name": "CLETUS",
"middle_name": "FONCHINGONG",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OH",
"license": "RCP.14456",
"primary": false
},
{
"code": "2279E0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLETUS",
"last_name": "CHI",
"middle_name": "FONCHINGONG",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Liberty TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.