# FIRST UROLOGY, PSC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIRST UROLOGY, PSC
- **Other names:** Vascular and Interventional Radiology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790539708
- **Legal business name:** FIRST UROLOGY, PSC
- **Authorized official:** MR. MICHAEL SHANNON (CEO)
- **Authorized official phone:** (812) 282-3899

## Contact information

- **Practice address:** 3906 S DUPONT SQ, LOUISVILLE, KY 40207-4647
- **Practice address phone:** (812) 282-3899
- **Practice address fax:** (812) 282-4172
- **Mailing address:** 101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
- **Mailing address phone:** (812) 282-3899
- **Mailing address fax:** (812) 282-4172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/16/2024
- **Last updated:** 05/06/2026