J&K Pain Management Company LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

35075570-M Issued in OH

Legal business name

J&K PAIN MANAGEMENT COMPANY LLC

Doing business as

Great Lakes Pain Management

Practice address

9002 Mentor Ave
Mentor, OH 44060-6302

Phone

(440) 306-2358

Fax

(440) 306-2359

NPI assigned

Nov 9, 2006

Last updated

Jan 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emad A. Mikhail, MDNPI 1790757375

Title

Owner

Phone

(440) 306-2358

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• GREAT LAKES PAIN MANAGEMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emad A. Mikhail, MD

  • Interventional Pain Medicine Physician
  • Mentor, OH
  • NPI 1790757375
  Medicare reassignment NPD Authorized official
• Christina G Abboud, DPT

  • Physical Therapist
  • Brecksville, OH
  • NPI 1831420595
  NPD (past)
• Nathan C Holbrook, PT

  • Physical Therapist
  • Beachwood, OH
  • NPI 1215185111
  NPD (past)
• Gwendolyn Kost, PT

  • Physical Therapist
  • Mayfield Village, OH
  • NPI 1265408918
  NPD (past)
• Marlo Miceli, PT

  • Physical Therapist
  • Willoughby Hills, OH
  • NPI 1164507406
  NPD (past)
• Melissa Ann Miozzi, PT

  • Physical Therapist
  • Cleveland HTS, OH
  • NPI 1306026166
  NPD (past)
• Bonnie Jean Sidari, DO

  • Family Medicine Physician
  • Beachwood, OH
  • NPI 1699883959
  NPD (past)
• Jason P Soncrant, PT, SCS, CSCS

  • Physical Therapist
  • Toledo, OH
  • NPI 1528008398
  NPD (past)
• Nathan Tekavec, MPT

  • Physical Therapist
  • Madison, OH
  • NPI 1295908267
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1902976699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606302",
            "telephone_number": "440-306-2358",
            "fax_number": "440-306-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606302",
            "telephone_number": "440-306-2358",
            "fax_number": "440-306-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&K PAIN MANAGEMENT COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-306-2358",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35075570-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000389088",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA CARE",
            "identifier": "C75570",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7813229",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00304928",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2083810",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2124534",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352308",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8076384",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "736496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT LAKES PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayley Edythe Iosue, D.P.M.
• Mark Darius Iranpak
• Lina Iverson
• Myeisha D Ivy
• J Alamoura LLC
• Avriyel Jackson
• Dionne Rayshelle Jackson
• Elissa Jackson, LPN
• Meghan E Jackson, DPT
• Shayna Jackson

• Specialist in Mentor, OH
• Providers in Mentor, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.