Dr. Dereck A. Peery
Orthopaedic Spine Surgeon
915 10th Ave Nw
Ardmore
, Oklahoma 73401-4025
Dr. Dereck A. Peery
Orthopaedic Spine Surgeon
915 10th Ave Nw
Ardmore
, Oklahoma 73401-4025
(580) 223-7207
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Dereck A. Peery
- 915 10th Ave Nw
- Ardmore, OK
- Zip : 73401-4025
- Fax : (580) 223-7207
- Phone : (580) 223-7200
Second Address
- Dr. Dereck A. Peery
- 915 10th Ave Nw
- Ardmore, OK
- Zip : 73401-4025
- Fax : (580) 223-7207
- Phone : (580) 223-7200
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 4546 | OK |
National Provider Identifier
| NPI | 1164543203 |
|---|---|
| Provider Name | Dr. Dereck A. Peery |
| First Address | Ardmore, OK 73401-4025 |
| Second Address | Ardmore, OK 73401-4025 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2007 |
| Last Update Date | 23/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200124470A | (05) | OK |
| OK700279 | INDIVIDUAL PTAN (01) | OK |
| P00442554 | RAILROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.