Sophia Mary Fornicola, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

50.010635RX Issued in OH

Practice address

214 W Bowery St
Akron, OH 44308-1046

Phone

(330) 543-8224

NPI assigned

Sep 17, 2026

Sex

Female

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

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1790697688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 BENNINGTON AVE NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464460",
            "telephone_number": "330-819-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W BOWERY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081046",
            "telephone_number": "330-543-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNICOLA",
        "first_name": "SOPHIA",
        "middle_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.010635RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnta Kimyatta Forester
• Forever Ink
• Alyssa Brooke Foringer, MD
• Hallie Forish, LPC
• Alisa Forney
• Jennette Forrest
• John Forrette, PSY.D.
• Beth Ann Forst, CPNP
• Berit Maria Forsyth, RN
• Miranda Berit Forsyth

• Surgical Physician Assistant in Akron, OH
• Providers in Akron, OH by specialty
• Surgical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.