OrganizationActive
Fairview Regional Medical Center Authority
NPI 1316981657 · Family Medicine Physician · Fairview, OK
Provider details
- NPI number
- 1316981657
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Fairview Hospital
- Organization subpart
- Yes
- Authorized official
- Roger Knak, Administrator(580) 227-3721
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
519 E State Rd
Fairview, OK 73737-1458
Phone: (580) 227-2585
Fax: (580) 227-2882
Street-level locationGet directions
Mailing address
Po Box 548
Fairview, OK 73737-0548
Other names (DBA / former)
- Doing business as
- Fairview Family Clinic
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2015-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.