Organization Active NPI

Fairwood Regenerative Medicine

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Toledo, OH
National Provider Identifier
1770215816
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
FAIRWOOD REGENERATIVE MEDICINE
Practice address
5215 Monroe St Ste 5
Toledo, OH 43623-3190
Phone
(419) 843-1515
Fax
(419) 715-9554
NPI assigned
Jun 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Hythem Rahman, DC
Title
President
Phone
(419) 843-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

5215 Monroe St Ste 5
Toledo, OH 43623-3190

Mailing address

5215 Monroe St Ste 5
Toledo, OH 43623-3190
Phone (419) 843-1515

National Provider Directory

National Provider Directory

Locations

5215 Monroe St
Ste 5
Toledo, OH 43623
Phone (419) 843-1515

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1770215816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 MONROE ST STE 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233190",
            "telephone_number": "419-843-1515",
            "fax_number": "419-715-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 MONROE ST STE 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233190",
            "telephone_number": "419-843-1515",
            "fax_number": "419-715-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWOOD REGENERATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "HYTHEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-843-1515",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.