Individual provider Active NPI

Sophia Anna Thorman, PA-C

  • Physician Assistant
  • Ashtabula, OH
National Provider Identifier
1861087322
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2141 Lake Ave
Ashtabula, OH 44004-3435
Phone
(440) 443-0442
Fax
(440) 755-8010
NPI assigned
Mar 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OH Primary

Addresses

Primary practice location

2141 Lake Ave
Ashtabula, OH 44004-3435

Mailing address

29111 Cedar Rd
Mayfield Heights, OH 44124-4005
Phone (440) 646-1600

Other practice location 1

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Phone (440) 312-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220404001753 OH Practitioner - Physician Assistant 6204222003 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Dermatology and Skin Surgery Center, LLCGroup PAC ID 1052589777, 52 clinicians

Practice addresses (Care Compare)

29111 Cedar Rd
Mayfield Heights, OH 44124-4005
Phone (440) 646-1600

7580 Auburn Rd
Suite 301
Painesville, OH 44077-9618
Phone (440) 352-7546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jan 12, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Aug 1, 2022 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Aug 1, 2022 Accepting new patients
Baldwin Wallace University PastSince Mar 1, 2021 Accepting new patients
Gary R Kutsikovich MD and Associates Inc Past Accepting new patients
SCH Professional Corporation PastSince Jun 8, 2025 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

22595 Lake Shore Blvd
Euclid, OH 44123
Phone (216) 416-0214

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1861087322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29111 CEDAR RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244005",
            "telephone_number": "440-646-1600",
            "fax_number": "440-646-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043435",
            "telephone_number": "440-443-0442",
            "fax_number": "440-755-8010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6780 Mayfield Rd",
            "address_purpose": "LOCATION",
            "city": "Mayfield Heights",
            "state": "OH",
            "postal_code": "441242203",
            "country_code": "US",
            "telephone_number": "440-312-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORMAN",
        "first_name": "SOPHIA",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.