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 is a Surgery Physician 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

Other providers in Owasso