OrganizationActive
Spine Transformation LLC
NPI 1215192265 · Orthopaedic Surgery of the Spine Physician · Ardmore, OK
Provider details
- NPI number
- 1215192265
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dereck Peery, President/Owner(580) 223-7200
- License
- 4546 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
915 10th Ave Nw
Ardmore, OK 73401-4025
Phone: (580) 223-7200
Fax: (580) 223-7207
Street-level locationGet directions
Mailing address
915 10th Ave Nw
Ardmore, OK 73401-4025
Registry dates
- Enumerated
- 2008-07-18
- Last updated
- 2010-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.