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Organization
FIRST UROLOGY, PSC
Active
Organization
FIRST UROLOGY, PSC
Active
Parent organization
FIRST UROLOGY, PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST UROLOGY, PSC
Authorized official
MICHAEL J SHANNON (CEO)
(812) 282-3899
Entity
Organization
Contact information
Practice address
5120 DIXIE HWY STE 105, LOUISVILLE, KY 40216-1775
(812) 282-3899
(812) 282-4172
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1650
MEDICARE
KY
05
—
65906414
—
KY
05
—
78902830
—
KY
Enumeration date
08/13/2021
Last updated
04/17/2026
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