Pain Management in Toledo, Ohio

William James, MD, CEO and Founder

American Board of Anesthesiology

American Board of Pain Management

Biography

Dr. James is an accomplished anesthesiologist and pain medicine physician. Dr. James graduated from Wayne State University School of Medicine in 1979. He went on to direct the Anesthesiology Residency Program at Toledo Hospital from 1986 until 1990. Long interested in pain management, he founded Toledo Pain Services in 1992. Toledo Pain Services (TPS) was later rebranded to Comprehensive Centers for Pain Management in 2008. Dr. James is adamant about constantly learning and improving as a provider. His experience and knowledge are an invaluable asset to Comprehensive Centers for Pain Management.

Contact Details

Office: 419-843-1370 Opt. 4 ext. 311

Nadeem N. Moghal, MD, Medical Director

Board Certified in Anesthesiology by the ABA with Subspecialty in Pain Medicine

Biography

Dr. Moghal joined the Comprehensive Centers for Pain Management team in 2006, and has since become the Medical Director. Dr. Moghal attended Case Western Reserve University in Cleveland, OH for his undergraduate training. He went on to attend the Medical Academy of Lublin, Poland for his medical degree, followed by a residency at Cleveland Clinic’s Division of Anesthesiology and Critical Care Medicine. He went on to complete a fellowship at the Cleveland Clinic Foundation Pain Management Center. Dr. Moghal is a fantastic leader as medical director, and a dedicated provider to his patients. Comprehensive Centers for Pain Management is extremely lucky to have Dr. Moghal as our Medical Director.

Patient Testimonial

“Dr. Moghal is very knowledgeable in this field and can explain what is happening very well.” – Andrew

Contact Details

Office: 419-843-1370 Opt. 4 ext. 311

Aileen Padilla, DO

Board certified in physical medicine, rehabilitation and pain management

Biography

Dr. Aileen Padilla joined Comprehensive Centers for Pain Management in October 2023. She started her career in Fort Myers, Florida, where she completed more than 130 Minimally Invasive Lumbar Decompression (MILD) procedures and over 50 Intracept procedures. Dr. Padilla earned her Bachelor of Science in Biochemistry at the Iona College in 2009, and later went on to receive her Doctor of Osteopathic Medicine degree from the NYIT College of Osteopathic Medicine in 2015. She completed her residency training in Physical Medicine and Rehabilitation at the SUNY Health Science Center in Brooklyn, New York in 2019. That following year, she also finished an Interventional Pain Management Fellowship at the Center for Advanced Pain Management and Rehabilitation in Metuchen, New Jersey.

Fritz Breckner, D.O., MPH

Board certified in Emergency Medicine by the American Board of Emergency Medicine

Biography

Dr. Fritz Paul Breckner is a highly skilled Emergency Medicine Physician who advanced his expertise through a Pain Management Fellowship at Washington University School of Medicine, Department of Anesthesiology. Under the guidance of Program Director Dr. Rajiv Shah, Fritz completed his training in pain management at Barnes Jewish Hospital in St. Louis, MO, in July of 2024.

Dr. Breckner’s medical journey began with a Doctor of Osteopathic Medicine (D.O.) degree from Michigan State University College of Osteopathic Medicine, where he graduated in 2011. He further developed his clinical skills during his Emergency Medicine residency at McLaren-Oakland Hospital, where he served as Chief Resident from 2011 to 2015. His commitment to leadership and education continued as he became an Associate Medical Director at McLaren Greater Lansing and the Emergency Medicine Residency Site Director from 2020 to 2022.

In addition to his clinical experience, Dr. Breckner holds a Master of Public Health (MPH) from the University of South Florida, with concentrations in Environmental Health and Global Health, and a Bachelor of Arts in Political Science from the University of Michigan. Dr. Breckner is board-certified in Emergency Medicine by the American Board of Emergency Medicine (ABOEM) and is licensed to practice in multiple states, including Michigan, Indiana, Ohio, South Carolina, and Texas. His certifications include Advanced Trauma Life Support (ATLS), Advanced Cardiovascular Life Support (ACLS), Basic Life Support (BLS), and Pediatric Advanced Life Support (PALS), ensuring he is well-prepared for critical care situations.

In addition to his medical achievements, Dr. Breckner served as a Captain in the U.S. Army National Guard, demonstrating his commitment to service and leadership. Outside of his professional commitments, he enjoys outdoor activities and spending time with his family, reflecting his belief in maintaining a balanced lifestyle. His diverse educational background equips him with a comprehensive understanding of both clinical practice and public health initiatives. His commitment to patient-focused care combined with extensive experience in emergency medicine, makes him a valuable addition to our practice.

Ben Wagner, PMHNP-BC

Board-certified Psychiatric Mental Health Nurse Practitioner

Biography

Ben Wagner is a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate and evidence-based care. He earned his Bachelor of Nursing from Walden University and his Master of Nursing from Herzing University.

With seven years of experience in the mental health field, Ben has worked across various settings, including substance use disorders, pediatric psychiatry, forensic psychiatry, community mental health, crisis intervention, inpatient behavioral health, and ketamine-assisted therapy. His comprehensive approach focuses on personalized treatment plans that support long-term well-being.

Debra Putano, LPCC

Licensed Professional Clinical Counselor

Biography

Debra Putano, LPCC, is a Licensed Professional Clinical Counselor. She earned her Bachelor’s degree in Psychology from the University of Toledo in 1995, graduating Cum Laude, and later earned her Master’s degree in Counseling from Spring Arbor University in 2012. Her career in mental health began at St. Vincent Medical Center, where she worked as a Mental Health Tech, followed by a similar role at St. Charles Hospital. Debra then advanced to a Psychologist Assistant position at River Centre Clinic, where she focused on monitoring and processing behaviors and emotions related to eating disorders, as well as facilitating psycho-educational groups.

She furthered her career as a Mental Health Therapist in Case Management with Behavioral Connections, and has gained extensive experience in counseling and therapy since 1996. Debra specializes in working with the adult population, providing both individual and group therapy. Her areas of expertise include treating depression, anxiety, trauma, psychosis, and pain management. Through her varied experiences across different clinical settings, Debra has honed her skills in providing comprehensive mental health support to those in need.

Cathy Wright, CNP

Certified Nurse Practitioner – Palliative Care & Pain Management

Biography

Cathy Wright is a dedicated and highly experienced Nurse Practitioner specializing in palliative care, pain management, and end-of-life care. With over two decades in the healthcare field, she has committed her career to improving patient quality of life through compassionate, individualized care.

In January 2025, Cathy joined Comprehensive Centers for Pain Management as a Certified Nurse Practitioner, where she focuses on helping patients manage chronic pain with a holistic, patient-centered approach. She collaborates with multidisciplinary teams to develop personalized treatment plans, ensuring that patients receive the best possible care to enhance their comfort and well-being.

Prior to this role, Cathy spent nearly a decade with ProMedica Physicians Group, working exclusively in palliative medicine and hospice. She played a key role in coordinating care for patients with chronic and life-limiting conditions, specializing in pain and symptom management, patient advocacy, and end-of-life decision-making. Before becoming a Nurse Practitioner, she gained extensive hands-on experience as a Registered Nurse in hospice, medical-surgical units, and acute care settings.

Cathy holds a Master of Science in Nursing from the University of Toledo and maintains active certifications, including CPR/AED and state licensure as a Nurse Practitioner in Ohio and Michigan. She is known for her empathetic approach, effective communication, and commitment to enhancing patient outcomes. Through her work at Comprehensive Centers for Pain Management, Cathy continues to provide exceptional care, empowering patients to manage their pain and improve their overall quality of life.

Megan Savage, FNP-C

Certified Family Nurse Practitioner

Biography

Megan Savage joined Comprehensive Centers for Pain Management in 2023. Megan earned her Bachelor of Science in Nursing from the University of Toledo in 2007. After graduating, she worked as a Registered Nurse at Toledo Hospital in the Surgical Intensive Care Unit and the Emergency Department through 2020. Megan continued her education and received her Masters of Science in Nursing from Chamberlain University in 2019 with a specialty as a Family Nurse Practitioner. Megan is also associated with the Ohio Association of Advanced Practice Nurses. Most recently, Megan served as a Nurse Practitioner at The Little Clinic in Waterville before joining our team at Comprehensive Centers for Pain Management.

Cassandra Brown, CNP

Certified Nurse Practitioner

Biography

Cassandra Brown, CNP, joined Comprehensive Centers for Pain Management in 2019. Cassandra graduated with high honors from Mercy College of Ohio with an Associate’s Degree in applied science in Nursing. Cassandra began her career as a Registered Nurse for St. Vincent Regional Heart and Vascular Center in Toledo, OH. She went on to advance to St. Anne Mercy Hospital operating room, where she worked on a variety of cases including gynecology, ENT, vascular, orthopedic, neurology, pain management, and endoscopy. Cassandra later went on to work in pain management at ProMedica Memorial Hospital in Fremont, OH. While working, she completed her Master of Science in Nursing from Walden University, and became a Certified Nurse Practitioner.

Contact Details

Office 419-843-1370 Opt. 4 ext. 327

Stacey Ice, CNP

Certified Nurse Practitioner

Biography

Stacey L. Ice, CNP, joined Comprehensive Centers for Pain Management in 2022. Stacey earned her Bachelor of Science in Nursing as a Registered Nurse from Bowling Green State University in 2010. Six years later in 2016, she received her Master of Science in Nursing at the University of Toledo. Stacey began working at the University of Toledo Medical Center as a nursing assistant in the emergency department, and for the next five years after, worked as a Registered Nurse, with a focus on orthopedics/vascular at Hillcrest Hospital, and float pool nursing at University of Toledo Medical Center. Most recently, Stacey was a Nurse Practitioner at Toledo Clinic Pain Management.

Contact Details

Office: 419-843-1370 Opt. 4

Nick Marinakis, PA-C

Certified Physician Assistant

Biography

Nick Marinakis, PA joined Comprehensive Centers for Pain Management in 2021. Nick graduated with honors from University of Maryland Baltimore County with a Bachelor’s of Science in Biochemistry and Psychology. He went on to earn his Master of Medical Science in Physician Assistant Studies at Saint Francis University in Loretto, PA in 2007. Nick went on to complete a Spine Fellowship Program at Virginia Spine Institute. Nick has over a decade of experience as a Physician Assistant in a spine surgery setting. His experience and knowledge make him a fantastic provider for Comprehensive Center for Pain Management’s patients.

Contact Details

Office 419-843-1370 Opt. 4 ext. 329

Nichole Lynch, MSN, FNP-C

Certified Nurse Practitioner

Biography

Nichole Lynch, CNP received her nursing degree from Lourdes University in 2002. She began her career as a Registered Nurse for St. Luke’s Hospital, working her way up to Charge Nurse. She later went on to earn her Master of Science in Family Nursing from Chamberlain College of Nursing. Nichole later went on to work at ProMedica Senior Care as a Nurse Practitioner, before joining the Comprehensive Centers for Pain Management team in 2021.

Contact Details

Office 419-843-1370 Opt. 4 ext. 326