Provider Demographics
NPI:1578874541
Name:AXELIX HEALTH CONSULTING, INC
Entity Type:Organization
Organization Name:AXELIX HEALTH CONSULTING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUGEGUN
Authorized Official - Middle Name:A
Authorized Official - Last Name:OGUNLESI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-867-4800
Mailing Address - Street 1:8587 EAST AVENUE
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-4301
Mailing Address - Country:US
Mailing Address - Phone:440-867-4800
Mailing Address - Fax:866-711-5107
Practice Address - Street 1:8587 EAST AVE
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4301
Practice Address - Country:US
Practice Address - Phone:440-867-4800
Practice Address - Fax:866-711-5107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35086600207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2868599Medicaid
OH9389911Medicare PIN