Provider Demographics
NPI:1437167160
Name:AYESU HEALTH PLUS PC
Entity Type:Organization
Organization Name:AYESU HEALTH PLUS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAW
Authorized Official - Middle Name:
Authorized Official - Last Name:AYESU-OFFEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-291-5657
Mailing Address - Street 1:1570 CLEVELAND AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-2755
Mailing Address - Country:US
Mailing Address - Phone:614-291-5657
Mailing Address - Fax:614-291-5822
Practice Address - Street 1:1570 CLEVELAND AVE
Practice Address - Street 2:STE 1
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-2755
Practice Address - Country:US
Practice Address - Phone:614-291-5657
Practice Address - Fax:614-291-5822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081334207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2343057Medicaid
OH2343057Medicaid
H68464Medicare UPIN