OrganizationActive
Providence Surgical Group at Bailey PLLC
NPI 1376692095 · Surgery Physician · Owasso, OK
Provider details
- NPI number
- 1376692095
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Mann, Owner(918) 298-2138
- License
- 24688 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
10512 N 110th East Ave
Suite 200
Owasso, OK 74055
Phone: (918) 344-6266
Fax: (918) 298-2138
Street-level locationGet directions
Mailing address
117 E 122nd Pl
Jenks, OK 74037-2860
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.