Individual provider Active NPI

Fidel Chidi Okoye, RESPIRATORYTHERAPIST

  • Emergency Care Certified Respiratory Therapist
  • West Bloomfield, MI
National Provider Identifier
1871023036
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Certified Respiratory TherapistTaxonomy code 2278E0002X
License
14150 Issued in OH
Practice address
5743 Timberridge Dr
West Bloomfield, MI 48324-1475
Phone
(248) 376-9014
Fax
(313) 766-7957
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Certified Respiratory Therapist 2278E0002X 14150 OH Primary

Addresses

Primary practice location

5743 Timberridge Dr
West Bloomfield, MI 48324-1475

Mailing address

5743 Timberridge Dr
West Bloomfield, MI 48324-1475
Phone (248) 376-9014

Other names 1

  • N/a N/a N/a Professional name

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

LicenseStateTypeSpecialty
14150OHMDEmergency Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871023036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 TIMBERRIDGE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241475",
            "telephone_number": "248-376-9014",
            "fax_number": "313-766-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 TIMBERRIDGE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241475",
            "telephone_number": "248-376-9014",
            "fax_number": "313-766-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOYE",
        "first_name": "FIDEL",
        "middle_name": "CHIDI",
        "credential": "RESPIRATORYTHERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Emergency Care",
            "state": "OH",
            "license": "14150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "RESPIRATORYTHERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.