Individual provider Active NPI

Aisha Rahman, MD

  • Interventional Pain Medicine Physician
  • North Canton, OH
National Provider Identifier
1912196114
Registry record updated Dec 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
35.097087 Issued in OH
Practice address
6659 Frank Ave NW
North Canton, OH 44720-7259
Phone
(330) 623-7100
Fax
(330) 232-9924
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.097087 OH
Family Medicine Physician 207Q00000X 060088 GA
Student in an Organized Health Care Education/Training Program 390200000X VA
Interventional Pain Medicine Physician 208VP0014X 35.097087 OH Primary

Addresses

Primary practice location

6659 Frank Ave NW
North Canton, OH 44720-7259

Mailing address

6659 Frank Ave NW
North Canton, OH 44720-7259
Phone (330) 623-7100

Other identifiers 3

IdentifierTypeStateIssuer
G60088MedicaidSC
0055505MedicaidOH
740224320AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000117 OH Practitioner - Pain ManagementPractitioner - Addiction Medicine 4082794532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Addiction Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6659 Frank Ave NW
North Canton, OH 44720-7259
Phone (330) 623-7100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
060088GAMDFamily Medicine Physician
35.097087OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Mercy Hospital Interventional Pain Medicine CurrentSince Oct 1, 2015 Accepting new patients
Canton Women's Center Inc CurrentSince Mar 13, 2024 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Oct 1, 2015 Accepting new patients
Stark Pain Management Interventional Pain Medicine CurrentSince Jul 1, 2017 Accepting new patients

Locations

4124 Fulton Dr NW
Ste 102
Canton, OH 44718
Phone (330) 493-4700

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

125 Canton Rd NW
Carrollton, OH 44615
Phone (330) 627-7300

1031 W High Ave
New Philadelphia, OH 44663
Phone (330) 365-5100

6659 Frank Ave NW
North Canton, OH 44720
Phone (330) 623-7100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDGEDD/Endpoint/EDGEDD

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1912196114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207259",
            "telephone_number": "330-623-7100",
            "fax_number": "330-232-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207259",
            "telephone_number": "330-623-7100",
            "fax_number": "330-232-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "AISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.097087",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "060088",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35.097087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G60088",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055505",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740224320A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.