Organization
FIRST UROLOGY, PSC
Active
Parent organization
FIRST UROLOGY,PSC
Other names
dba Southern Indiana RadiationTherapy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST UROLOGY,PSC
Authorized official
MICHEAL SHANNON (CEO)
(812) 282-3899
Entity
Organization
Contact information
Practice address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(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
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208800000X
Urology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100075260
—
IN
05
—
65906414
—
KY
05
—
78902830
—
KY
01
—
CF7705
RR MEDICARE
KY
01
—
CG9483
RR MEDCIARE
IN
Enumeration date
10/31/2005
Last updated
03/11/2026
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