Spine Transformation Llc in Ardmore - Orthopaedic Surgery Of The Spine
Spine Transformation Llc - NPI 1215192265
Spine Transformation Llc is a Orthopaedic Surgery Of The Spine in Ardmore, Oklahoma. Spine Transformation Llc practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Spine Transformation Llc is 1215192265. The last update date is 2010-11-10.
Spine Transformation Llc's current location address is 915 10th Ave Nw, Ardmore, Oklahoma. You can contact this provider via phone number 5802237200 and fax number 5802237207. The mailing address for Spine Transformation Llc is 915 10th Ave Nw, Ardmore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spine Transformation Llc |
|---|---|
| Address | 915 10th Ave Nw, Ardmore, Oklahoma |
| Phone Number | 5802237200 |
| Fax Number | 5802237207 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Peery Aaron Dereck |
| Credentials | DO |
| Telephone Number | 5802237200 |
NPI Number Detail
| NPI Number | 1215192265 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2010-11-10 |
Provider Mailing Address Detail
| Address | 915 10th Ave Nw |
|---|---|
| City | Ardmore |
| State | Oklahoma (OK) |
| Post Code | 734014025 |
| Phone Number | 5802237200 |
| Fax Number | 5802237207 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
|---|---|
| Taxonomy | 207Xs0117X |
| Licence No | 4546 |
|
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200204540A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Spine Transformation Llc by the Centers for Medicare & Medicaid Services?
The Spine Transformation Llc has been issued the NPI (National Provider Identifier) 1215192265 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Spine Transformation Llc is geographically located?
The Spine Transformation Llc is physically situated at the following location: 915 10Th Ave Nw, Ardmore, OK, 734014025.
What is Spine Transformation Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Spine Transformation Llc's specialized field of practice is Orthopaedic Surgery Of The Spine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xs0117X.
On what date did Spine Transformation Llc receive its 1215192265 assignment from the Centers for Medicare & Medicaid Services?
The Spine Transformation Llc was assigned its 1215192265 on 2008-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Spine Transformation Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Spine Transformation Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-11-10.