Organization
FIRST UROLOGY, PSC
Active
Parent organization
FIRST UROLOGY, PSC
Other names
Vascular and Interventional Radiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST UROLOGY, PSC
Authorized official
MR. MICHAEL SHANNON (CEO)
(812) 282-3899
Entity
Organization
Contact information
Practice address
3906 S DUPONT SQ, LOUISVILLE, KY 40207-4647
(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
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
208800000X
Urology Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/16/2024
Last updated
05/06/2026
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