Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Ambulatory Surgery Center

Organization Ambulatory Surgical Clinic/Center · NPI 1023498219

Great Lakes Ambulatory Surgery Center provides Ambulatory Surgical Clinic/Center services in Mentor, Ohio. Licensed in Ohio. Registered with an NPI since 2015.

Licensed in
OH
In the registry since
2015

Practice location Address checks out

9002 Mentor Ave Ste B
Mentor, OH 44060-6302
Phone: (440) 283-0244
Fax: (440) 283-0247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 35-075570 (OH)

Record details

NPI number1023498219
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGreat Lakes Pain Management
Authorized official Emad Mikhail — Owner · (440) 306-2358
NPI enumeratedJune 3, 2015
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address9002 Mentor Ave, Mentor, OH 44060-6302

Other providers in Mentor