NPIMap

Individual provider Active NPI

Thierry Pechap Ayafor

  • Obstetrics & Gynecology Physician
  • Lawton, OK
National Provider Identifier
1235768763
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
43690 Issued in OK
Practice address
5602 SW Lee Blvd
Lawton, OK 73505-9699
Phone
(580) 531-3802
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 43690 OK Primary

Addresses

Primary practice location

5602 SW Lee Blvd
Lawton, OK 73505-9699

Mailing address

4141 W Glendale Ave Apt 1044
Phoenix, AZ 85051-8164
Phone (205) 441-8226

Other practice location 1

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Phoenix

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516001529 OK Practitioner - Obstetrics/Gynecology 8123546843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Surgical Affiliates, LLCGroup PAC ID 0941365308, 22 clinicians

Practice addresses (Care Compare)

5604 SW Lee Blvd
Suite 257
Lawton, OK 73505-9663
Phone (580) 699-8020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43690OKMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Surgical Affiliates, LLC CurrentSince Jun 1, 2025 Accepting new patients
Comanche County Healthcare CurrentSince Dec 1, 2025 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Dec 1, 2025 Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Comanche County Healthcare Past Accepting new patients

Locations

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

5604 SW Lee Blvd
Ste 310
Lawton, OK 73505
Phone (580) 531-4054

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

5604 SW Lee Blvd
Ste 257
Lawton, OK 73505
Phone (580) 699-8020

5604 SW Lee Blvd
Ste 357
Lawton, OK 73505
Phone (580) 531-4600

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

Interoperability endpoints

  • Direct secure messaging: thierry.pechap.ayafor.1@1821.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1235768763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 W GLENDALE AVE APT 1044",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518164",
            "telephone_number": "205-441-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059699",
            "telephone_number": "580-531-3802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134409",
            "country_code": "US",
            "telephone_number": "602-406-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECHAP AYAFOR",
        "first_name": "THIERRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "43690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "address_1": "350 W Thomas Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850134409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.