PROVIDENCE SURGICAL GROUP AT BAILEY PLLC
NPI 1376692095
Surgery in Owasso, OK

Q: What is Providence Surgical Group At Bailey PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since January 10, 2007

10512 N 110TH EAST AVE, SUITE 200, OWASSO, OK 74055(918) 344-6266(918) 298-2138 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Providence Surgical Group At Bailey Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE SURGICAL GROUP AT BAILEY PLLC (NPI 1376692095) is a healthcare organization registered as a surgery in Owasso, Oklahoma and active in the NPI registry since January 2007. The organization lists Michael D Mann, Owner, as its authorized official.

NPPES Registry Identity

NPI1376692095

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NamePROVIDENCE SURGICAL GROUP AT BAILEY PLLC

Location Address10512 N 110TH EAST AVE, SUITE 200Owasso, OK 74055

Mailing Address117 E 122nd PlJenks, OK 74037-2860 · (918) 298-2138 · Fax (918) 298-2138

Phone(918) 344-6266

Fax(918) 298-2138

Organization SubpartNo

Authorized OfficialMichael D MannOwner · (918) 298-2138

Enumeration DateJanuary 10, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1376692095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OK · 24688

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

10512 N 110TH EAST AVE, Owasso, OK 74055

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY LEE FOSTER

Nurse Practitioner (Family)

10512 N 110TH EAST AVE
OWASSO, OK 74055

Tulsa County (918) 376-8410

MEGAN HALLOCK PT, DPT

Physical Therapist

10512 N 110TH EAST AVE
OWASSO, OK 74055

Tulsa County (918) 376-8550

J KIRK & COMPANY P C

Surgery

10512 N 110TH EAST AVE, SUITE 100
OWASSO, OK 74055

Tulsa County (918) 622-8513

DR. LAURIE ELIZABETH MICKLE MD

Pediatrics

10512 N 110TH EAST AVE, SUITE 300
OWASSO, OK 74055

Tulsa County (918) 376-8901

DR. THERESA LYNN HORTON MD

Pediatrics

10512 N 110TH EAST AVE
OWASSO, OK 74055

Tulsa County (918) 376-8901

DR. JON EVERARD ORJALA D.O.

Specialist

10512 N 110TH EAST AVE, STE 220
OWASSO, OK 74055

Tulsa County (918) 376-8959

BRYAN TERRY SMEDLEY D.O.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

10512 N 110TH EAST AVE, SUITE 210
OWASSO, OK 74055

Tulsa County (918) 376-8996

DR. MARK ALLEN BIRDSONG M.D.

Surgery

10512 N 110TH EAST AVE, SUITE 240
OWASSO, OK 74055

Tulsa County (918) 212-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Surgical Group At Bailey PLLC's NPI number?

The NPI number for Providence Surgical Group At Bailey PLLC is 1376692095. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Providence Surgical Group At Bailey PLLC located?

Providence Surgical Group At Bailey PLLC is located at 10512 N 110th East Ave Suite 200, Owasso, OK 74055. The listed phone number is (918) 344-6266.

What is Providence Surgical Group At Bailey PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Providence Surgical Group At Bailey PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.