Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gregory William Fairlie, DO

Individual provider Family Medicine Physician · NPI 1700874914

Dr. Gregory William Fairlie, DO is a Family Practice in Oklahoma City, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2000, 26 years ago. Practices with Medical Resource Management LLC, a 59-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
26
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

13420 N Pennsylvania Ave
Oklahoma City, OK 73120-9007
Phone: (405) 478-0633
Fax: (405) 478-5218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3850 (OK)

Record details

NPI number1700874914
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2000 (26 years in practice)
Group practice Medical Resource Management Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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