Spine Transformation Llc
Orthopaedic Surgery (Orthopaedic Surgery of the Spine) Clinic
915 10th Ave Nw, Ardmore
Oklahoma, 73401-4025
580-223-7200 580-223-7207
Maps & DirectionsSpine Transformation Llc is a Spine Orthopedic Clinic in Ardmore, Oklahoma. It is situated at 915 10th Ave Nw, Ardmore and its contact number is 580-223-7200. The authorized person of Spine Transformation Llc is Dereck Aaron Peery
who is President/owner of the clinic and their contact number is 580-223-7200. Primary license number for Spine Transformation Llc is 4546 (Orthopaedic Surgery (Orthopaedic Surgery of the Spine)) in Oklahoma.
Spine Transformation Llc Clinic has spine orthopaedic surgeons who deals with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Complete Profile:
Spine Transformation Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Specialization: | Orthopaedic Surgery of the Spine |
| Clinic Address: | 915 10th Ave Nw, Ardmore,
Oklahoma, 73401-4025 |
| Phone: | 580-223-7200 |
| Fax: | 580-223-7207 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dereck Aaron Peery |
| Position: | President/owner |
| Contact Number: | 580-223-7200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Spine Transformation Llc Clinic are as mentioned below.
| NPI Number: | 1215192265 |
| NPI Enumeration Date: | 18 Jul, 2008 |
| NPI Last Update On: | 10 Nov, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Spine Transformation Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 4546 | Oklahoma | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200204540A | Medicaid | Oklahoma | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Spine Transformation Llc
915 10th Ave Nw,
Ardmore, Oklahoma |
| Zip: | 73401-4025 |
| Phone Number: | 580-223-7200 |
| Fax Number: | 580-223-7207 |
Patients can reach Spine Transformation Llc at
915 10th Ave Nw, Ardmore, Oklahoma or can
call to book an appointment on 580-223-7200.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.