Organization
J&K PAIN MANAGEMENT COMPANY LLC
Active
Other names
GREAT LAKES PAIN MANAGEMENT
Organization subpart
No
Provider details
NPI number
Authorized official
EMAD A. MIKHAIL MD (OWNER)
(440) 306-2358
Entity
Organization
Contact information
Practice address
9002 MENTOR AVE, MENTOR, OH 44060-6302
(440) 306-2358
(440) 306-2359
Mailing address
9002 MENTOR AVE, MENTOR, OH 44060-6302
(440) 306-2358
(440) 306-2359
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35075570-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389088
ANTHEM
OH
01
—
2083810
UNITED HEALTH CARE
OH
05
—
2124534
—
OH
05
—
352308
—
OH
05
—
736496
—
OH
01
—
7813229
AETNA
OH
01
—
8076384
CIGNA
OH
01
—
C75570
SUMMA CARE
OH
01
—
P00304928
RAILROAD MEDICARE
OH
Enumeration date
11/09/2006
Last updated
01/13/2026
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