Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Surgical Group at Bailey PLLC

Organization Surgery Physician · NPI 1376692095

Providence Surgical Group at Bailey PLLC provides Surgery Physician services in Owasso, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10512 N 110th East Ave Ste 200
Owasso, OK 74055
Phone: (918) 344-6266
Fax: (918) 298-2138
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 24688 (OK)

Record details

NPI number1376692095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Mann — Owner · (918) 298-2138
NPI enumeratedJanuary 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address117 E 122nd Pl, Jenks, OK 74037-2860

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