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MR. FORREST T FORNASH PA
NPI 1164494290
Physician Assistant - Medical in Xenia, OH

Active since February 02, 2006
215 S ALLISON AVE, XENIA, OH 45385(937) 903-1868 Get Directions Write a Review

NPPES record last updated: April 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Forrest T Fornash Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. FORREST T FORNASH PA (NPI 1164494290) is an individual medical provider in Xenia, Ohio, licensed in Ohio (1973) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1164494290
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. FORREST T FORNASHCredential: PA
Location Address215 S ALLISON AVEXenia, OH 45385-3694
Mailing Address14 Trevilla CtFort Thomas, KY 41075-4025 · (937) 903-1868
Phone(937) 903-1868
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateApril 5, 2013
✔ NPI 1164494290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 1973
215 S ALLISON AVE, Xenia, OH 45385
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Other Names 1

Other Name (5)Mr. Forrest T Fornash Pa

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA REDWINE
Registered Nurse (Case Management)
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 672-4085
BENJAMIN STEWART
Case Manager/Care Coordinator
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
MAQUIDA L LAWSON
Case Manager/Care Coordinator
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
SARAH STUDINARZ
Counselor (Addiction (Substance Use Disorder))
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
SHANNON L GRAHAM
Counselor (Addiction (Substance Use Disorder))
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
HEIDI BAKER
Case Manager/Care Coordinator
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
KIMBERLY JOY DILLARD
Counselor (Addiction (Substance Use Disorder))
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490
PNP RECOVERY
Clinic/Center (Mental Health (Including Community Mental Health Center))
215 S ALLISON AVE
XENIA, OH 45385
Greene County (937) 352-6490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forrest Fornash's NPI number?

The NPI number for Forrest Fornash is 1164494290. It was assigned to this individual provider in the NPPES registry on February 2, 2006. The provider is also known as Mr. Forrest T Fornash PA.

Where is Forrest Fornash located?

Forrest Fornash practices at 215 S Allison Ave, Xenia, OH 45385. The listed phone number is (937) 903-1868.

What is Forrest Fornash's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Forrest Fornash was last updated on April 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.