FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY (NPI# 1316981657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316981657 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY |
| Other Organization Name | FAIRVIEW FAMILY CLINIC |
| Practice Address |
519 E State Rd Fairview OK 73737-1458 |
| Mailing Address |
Po Box 548 Fairview OK 73737-0548 |
| Practice Telephone | 5802272585 |
| Practice Fax Number | 5802272882 |
| Mailing Telephone | 5802272585 |
| Mailing Fax Number | 5802272882 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2015-03-11 |
| Authorized Official Name | ROGER KNAK (ADMINISTRATOR) |
| Authorized Official Telephone | 5802273721 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAIRVIEW HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100700800C | 05 |
| Other Name | Type Code |
|---|---|
| Fairview Family Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033153309 | Fairview Regional Medical Center Authority | General Acute Care Hospital | 523 E State Rd, Fairview, OK 73737-1453 | 2006-06-16 |
| 1356379309 | Fairview Regional Medical Center Authority | Family Medicine | 519 E State Rd, Fairview, OK 73737-1458 | 2006-06-29 |
| 1053357210 | Fairview Regional Medical Center Authority | General Acute Care Hospital | 523 E State Rd, Fairview, OK 73737-1453 | 2006-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY | C/o City of Fairview, P O Box 386, Fairview, OK 73737 |
| Street Address |
519 E STATE RD |
| City | FAIRVIEW |
| State | OK |
| Zip Code | 73737-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666010 | Solomon Ali | General Practice | 519 E State Rd, Fairview, OK 73737-1458 | 2005-08-15 |
| 1528462603 | Jerry Braziel | Physician Assistant | 519 E State Rd, Fairview, OK 73737-1458 | 2014-10-17 |
| 1285037416 | Fairview Regional Medical Center | Clinic/Center | 519 E State Rd, Fairview, OK 73737-1458 | 2014-10-02 |
| 1114105640 | Andrea Ellen Mceachern | Family Medicine | 519 E State Rd, Fairview, OK 73737-1458 | 2008-02-06 |
| 1356379309 | Fairview Regional Medical Center Authority | Family Medicine | 519 E State Rd, Fairview, OK 73737-1458 | 2006-06-29 |
| 1437185667 | Donald Klinger | Family Medicine | 519 E State Rd, Fairview, OK 73737-1458 | 2006-06-22 |
| 1508868050 | John P. Harris | General Practice | 519 E State Rd, Fairview, OK 73737-1458 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598212664 | Megan Leigh Ewing | Nurse Practitioner | 519 East State Road, Fairview, OK 73737 | 2016-09-07 |
| 1144507492 | Oliver Gary Lackey | Pharmacist | 624 N Main St, Fairview, OK 73737 | 2011-11-14 |
| 1720298524 | Mary Kliewer | Counselor | 1425 N. Main, Suite 1, Fairview, OK 73737 | 2007-05-23 |
| 1861553703 | Dentistry for Today, P.C. | Dentist | 2414a Heritage Trail, Fairview, OK 73737 | 2006-12-13 |
| 1487727699 | State of Oklahoma | Community/Behavioral Health | Northwest Center for Behavioral Health, 1425 N. Main, Suite 1, Fairview, OK 73737 | 2006-11-16 |
| 1174519102 | Fairview Home Health LLC | Home Health | 806 N Main St, Fairview, OK 73737-1004 | 2005-09-26 |
| 1760569073 | Robert A. Marti, D.d.s., A Professional Corporation | Dentist | 917 N Main St, Fairview, OK 73737-1005 | 2006-11-01 |
| 1033579818 | Jana Lyn Hickman | Occupational Therapist | 510 Surrey Ln, Fairview, OK 73737-1006 | 2016-03-07 |
| 1831759679 | Olivers Express Pharmacy LLC | Audiologist-Hearing Aid Fitter | 624 N Main St, Fairview, OK 73737-1216 | 2019-06-14 |
| 1134545999 | Olivers Express Pharmacy LLC | Pharmacy | 624 N Main St, Fairview, OK 73737-1216 | 2014-03-17 |
| Find all providers in zip 73737 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871811307 | Rean Alex Goelst | Family Medicine | 1800 Ne Market Dr, Fairview, OR 97024-7000 | 2010-05-07 |
| 1447483680 | James Edward Thompson | Family Medicine | 836 Scenic Ranch Circle, Fairview, TX 75069 | 2009-09-03 |
| 1467619163 | Regional Health Services, Inc. | Family Medicine | 7287 West Ridge Road, Fairview, PA 16415-2360 | 2008-05-20 |
| 1083818108 | Fairview Medical Center | Family Medicine | 7100 Adams Dr, Fairview, TN 37062 | 2007-06-13 |
| 1366560815 | Medical Associates of Erie | Family Medicine | 7686 West Ridge Rd, Fairview, PA 16415 | 2007-03-26 |
| 1073657003 | Aoife O'sullivan | Family Medicine | Hyster-yale, 4000 Ne Blue Lake Road, Fairview, OR 97024 | 2007-02-15 |
| 1841377082 | Thomas H Turner | Family Medicine | 7176 W Ridge Rd, Fairview, PA 16415-2027 | 2006-11-01 |
| 1356360762 | Richard Sy Sposito | Family Medicine | 7686 West Ridge Rd., Fairview, PA 16415 | 2006-07-18 |
| 1639108780 | Mclaren Primary Care | Family Medicine | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-07-01 |
| 1477518124 | Richard Anthony Ortoski | Family Medicine | 7686 West Ridge Road, Fairview, PA 16415 | 2006-04-18 |
| Find all providers in FAIRVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.