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 is an Ambulatory Surgical Clinic/Center 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