Active NPI
Archibald Agyekum-Yamoah, MD
- General Practice Physician
- Enid, OK
National Provider Identifier
1831884295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 104328
- Practice address
- 527 Gott Rd # 810
Enid, OK 73705-5103 - Phone
- (860) 751-4475
- NPI assigned
- Apr 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 104328 | GA | Primary |
Addresses
Primary practice location
527 Gott Rd # 810
Enid, OK 73705-5103
Mailing address
527 Gott Rd BLDG 810527
Enid, OK 73705-5103
Phone (860) 751-4475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104328 | GA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1831884295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 GOTT RD BLDG 810527",
"city": "ENID",
"state": "OK",
"postal_code": "737055103",
"telephone_number": "860-751-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 GOTT RD # 810",
"city": "ENID",
"state": "OK",
"postal_code": "737055103",
"telephone_number": "860-751-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGYEKUM-YAMOAH",
"first_name": "ARCHIBALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "104328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.