Foncham Buma Foncham

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2456955 Issued in MN

Practice address

856 University Avenue, W
St. Paul, MN 55104

Phone

(651) 665-9795

Fax

(651) 665-9796

NPI assigned

Sep 29, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Divine Healthcare Corporation

  • Home Health Agency
  • Saint Paul, MN
  • NPI 1326150343
  NPD (past)

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801305131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044807",
            "telephone_number": "651-665-9795",
            "fax_number": "651-665-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 UNIVERSITY AVENUE, W",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-665-9795",
            "fax_number": "651-665-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONCHAM",
        "first_name": "FONCHAM",
        "middle_name": "BUMA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2456955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Povi Dzodzoe Folivi, PMHNP
• Keith Eugene Folkert, M.D.
• Karen Folman
• Neal A Foman, MD
• Florence Fon, FNP
• Leoga Foncham, RN
• Tala Fondungallah
• Elizabeth Fong
• Teresa L Fong, DDS
• Allen E Fongemie, MD

• Home Health Registered Nurse in St. Paul, MN
• Providers in St. Paul, MN by specialty
• Home Health Registered Nurse in Minnesota

• 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.