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NPI Code Detail

MEDICARE: J&K PAIN MANAGEMENT COMPANY LLC

MEDICARE: J&K PAIN MANAGEMENT COMPANY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist35075570-MOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
9P00304928OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12083810OTHEROHUNITED HEALTH CARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3C75570OTHEROHSUMMA CARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
57813229OTHEROHAETNA
68076384OTHEROHCIGNA
7000000389088OTHEROHANTHEM
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902976699
Entity Type Code : Organization
Provider Name (Legal Business Name) : J&K PAIN MANAGEMENT COMPANY LLC
Provider Business Mailing Address
First Line : 9002 MENTOR AVE
Second Line :
City : MENTOR
State : OH
Zip : 44060-6302
Country : US
Telephone Number : 440-306-2358
Fax Number : 440-306-2359
Provider Business Practice Location Address
First Line : 9002 MENTOR AVE
Second Line :
City : MENTOR
State : OH
Zip : 44060-6302
Country : US
Telephone Number : 440-306-2358
Fax Number : 440-306-2359
Authorized Official
Title or Position : OWNER
Name : EMAD A. MIKHAIL
Credential : MD
Telephone Number : 440-306-2358
Provider Enumeration Date : 11/09/2006
Last Update Date : 01/13/2026

Similar Medicare Providers

1790757375 — DR. EMAD A. MIKHAIL MD
Practice Location Address:
9002 MENTOR AVE
MENTOR, OH
44060-6302
Practice Phone: 440-306-2358
Practice Fax: 440-306-2359
1023498219 — GREAT LAKES AMBULATORY SURGERY CENTER
Practice Location Address:
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Practice Fax: 440-283-0247
1093813081 — MRS. STACEY LYNN FELLINGER L.M.T.
Practice Location Address:
9002 MENTOR AVE
MENTOR, OH
44060-6302
Practice Phone: 440-266-1901
Practice Fax: 440-266-1902
1285850180 — DR. DOUGLAS WALTMAN PH.D.
Practice Location Address:
9002 MENTOR AVE
MENTOR, OH
44060-6302
Practice Phone: 440-205-1008
Practice Fax: 440-205-1047
1922291715 — WILLIAM L EPPICH DPT
Practice Location Address:
9002 MENTOR AVE
MENTOR, OH
44060-6302
Practice Phone: 440-266-1901
Practice Fax: 440-266-1902
1780836700 — GLENN EUGENE KERSHAW JR. PTA
Practice Location Address:
9002 MENTOR AVE
MENTOR, OH
44060-6302
Practice Phone: 440-266-1901
Practice Fax: 440-266-1902

Directions to “J&K PAIN MANAGEMENT COMPANY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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