About PEMCO
Our Practice
PEMCO was founded by Dr. Richard Donnini nearly 20 years ago.
We offer multiple treatment options to treat the whole person including:
- Interventional Procedures
- Physical Therapy and Rehabilitation
- Psychological Counseling
- Medication Management
Our Objective
Our number one priority is restoring you to your previous lifestyle as free from pain as possible. Early diagnosis and treatment are key factors in effective pain management. We take your personal goals into account when developing a treatment plan. Whether your objective is getting back to work, walking a 5k, or just enjoying time with family and friends we will help you along the way. Our main objectives are:
- Finding the cause of your pain
- Providing options to effectively treat your pain
- Improving your quality of life
Our Promise
It is the mission and philosophy of our practice to provide comprehensive pain management in a safe and caring environment. Everyone who walks through our door will be treated with understanding and respect. We look forward to your visit!
Our Staff
Dr. Joseph Wray
Dr. Joseph Wray is a board-certified interventional pain physician and anesthesiologist dedicated to helping patients reclaim function, restore mobility, and return to the activities that matter most. He specializes in advanced, minimally invasive spine and pain procedures, with particular interest in spinal cord stimulation and other cutting-edge treatments for chronic pain.
After earning his medical degree from the University of Nevada School of Medicine, Dr. Wray completed residency at San Antonio Military Medical Center and fellowship training in Interventional Spine and Pain Medicine at the University of Florida. During his 13-year Air Force career, he had the privilege of caring for active-duty military members, veterans, and their families — an experience that shaped his disciplined, patient-centered, and mission-driven approach to medicine.
Dr. Wray believes the best pain care is both precise and personal. He takes time to understand each patient’s story, identify the true pain generator whenever possible, and build a treatment plan that balances relief, function, and long-term health. His goal is not just to reduce pain, but to help patients live stronger, fuller lives.
With a personal passion for fitness, wellness, and longevity, Dr. Wray is excited to bring high-level interventional pain care to his own community and to expand access to innovative options for patients seeking hope beyond chronic pain.
Dr. Tammy Dann
I knew early on in my schooling that I wanted to be a pain physician and wanted to be able to provide my future patients with a well rounded approach to managing their pain. After attending medical school at the founding osteopathic medical school in Kirksville, Missouri, I completed an anesthesiology and critical care residency at St. Louis University, followed by an Interventional Pain Management fellowship at the University of Iowa. Prior to attending medical school I also obtained a Masters’ Degree in Public Health from the University of Minnesota.
I am currently board certified in anesthesiology and critical care as well as interventional pain management by the American Board of Anesthesiology. I have thus been provided with the tools to treat pain with a combination of osteopathic manipulation, injections, implantable therapies and medications. I am specifically interested in treatments for chronic regional pain syndrome, as well as management of implantable therapies including nerve stimulators and pain pumps. I have given lectures at national conferences and am involved with various anesthesia and pain societies in order to remain well versed in the best and most beneficial pain treatments for my patients.
In my free time, I enjoy volunteering at my children’s schools, running and spending time with my husband, four children, dog and two cats.
Kathi Flanders MS, CNP
I have always enjoyed working in a social environment. My interest in helping others led me to the health care field. I ultimately decided to get my bachelor of science in nursing from the University of Cincinnati in 1995. I went on to University of Cincinnati’s masters in nursing program of which I graduated with my masters of science in nursing in 1997. My career as a nurse practitioner began shortly following my degree. I’ve worked in nursing for over 25 years and pain management for over seven years. I enjoy helping patients find the source of pain and providing treatment options to help every person live as free from pain as possible.
I have an active social life and I enjoy spending time with family and friends. I especially take pleasure in spending time with my grandchildren that I see as much as possible. My husband and I enjoy traveling and spending time on the beach. I also enjoy taking quiet time to read.
Joni Abramczyk, MSN, CNP
I have been in the field of nursing for 7.5 years, spending my first 3 years caring for those with various cardiac and pulmonary issues and my last 4.5 years working at Soin Medical Center in an outpatient/inpatient procedural area. I obtained my undergraduate nursing degree from Wright State University in 2009 and my master's degree from Chamberlain University in 2016. Though I am a new nurse practitioner, I am not new to those with acute and chronic pain for 4.5 years, it was those connections I made with patients and the progress I seen over the years that led me to pursue a career in pain management.
In my off time I enjoy spending time with family, binge-watching my favorite shows on Netflix with my husband, playing games with my daughter, watching her at gymnastics, and appreciating the outdoors. I look forward to traveling more and creating new memories with my family.
Keith Rost, Director of Physical Therapy
I have worked as the Director of Physical Therapy at PEMCO for the over 19 years and have been in the physical medicine field for over 28 years. As long as I can remember, I’ve been passionate about physical medicine and nutrition health. I earned my associates degree in exercise science in 1989 and my degree in radiological science in 1995. I also attended Wright State University where I studied athletic training. I have certifications in spinal rehab from the University of Florida as well functional training/manual therapy, among others. My focus is integrating conventional physical therapy procedures and modalities with integrative alternative pain management options. I was one of the first in the Dayton area to implement the homeopathic anti-inflammatory medicine Traumeel with Iontophoresis for effective pain relief.
In my free time, I enjoy spending time with my wife and three children. Our kids are involved in athletic and academic programs which keep us very busy. I have enjoyed coaching my kids in sports throughout the years and guiding them to be the best they can be. I love all sports, strength training, and improving my knowledge of nutritional health and wellness. To keep my skills fine-tuned I often attend training/certification seminars in physical medicine and nutrition in hopes to educate our patients at PEMCO.
Karen Malko LPN, Business Manager
John Accrocco MS, PT