PROVIDENCE SURGICAL GROUP AT BAILEY PLLC – Surgery Physician, NPI 1376692095

PROVIDENCE SURGICAL GROUP AT BAILEY PLLC is a healthcare provider. based in Jenks, Oklahoma. specializing in Surgery Physician. The organization holds a License No. 24688 (OK). The NPI Number for PROVIDENCE SURGICAL GROUP AT BAILEY PLLC is 1376692095

Main info

Organization
Name
PROVIDENCE SURGICAL GROUP AT BAILEY PLLC
NPI
1376692095
Phone
(918) 298-2138
Address
117 E 122ND PL
Authorized Official
DR. MICHAEL D MANN OWNER M.D.
Enumeration Date
10 January 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PROVIDENCE SURGICAL GROUP AT BAILEY PLLC

  • East 122nd Place South, Jenks, Tulsa, Oklahoma, 74037, United States

    JENKS, OK 740372860

    Phone: (918) 298-2138

    Fax: (918) 298-2138

    Type: Mailing

  • Bailey Medical Center, 10512, North 110th East Avenue, Owasso, Tulsa County, Oklahoma, 74055, United States

    SUITE 200

    OWASSO, OK 74055

    Phone: (918) 344-6266

    Fax: (918) 298-2138

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74037)

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Reviews

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Frequently asked questions

Does PROVIDENCE SURGICAL GROUP AT BAILEY PLLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PROVIDENCE SURGICAL GROUP AT BAILEY PLLC uses 1376692095.
Does CMS list PROVIDENCE SURGICAL GROUP AT BAILEY PLLC as active?
Yes — PROVIDENCE SURGICAL GROUP AT BAILEY PLLC is active in the NPI listing used on this page.
What taxonomy line describes PROVIDENCE SURGICAL GROUP AT BAILEY PLLC?
For research purposes, treat PROVIDENCE SURGICAL GROUP AT BAILEY PLLC as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does PROVIDENCE SURGICAL GROUP AT BAILEY PLLC list a practice location?
Patients near Jenks, Oklahoma may find PROVIDENCE SURGICAL GROUP AT BAILEY PLLC in results; validate coverage separately.
Why does PROVIDENCE SURGICAL GROUP AT BAILEY PLLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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