FIRST UROLOGY PSC NPI 1104183375

NPI Information

  • NPI: 1104183375
  • Provider Name: FIRST UROLOGY, PSC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 18D1041046
  • Address: 1919 STATE ST
    SUITE 205
    NEW ALBANY, IN
    ZIP 47150
  • Phone: (812) 941-0443

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NPI Details

FIRST UROLOGY, PSC is an urology in New Albany, IN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. FIRST UROLOGY, PSC NPI is 1104183375. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1919 STATE ST
SUITE 205
NEW ALBANY, IN
ZIP 47150-929
Phone: (812) 941-0443
Fax: (812) 282-4172

The provider's authorized official is Michael J Shannon .
The authorized official title is Ceo and has the following contact phone number (812) 282-3899.

The CLIA number assigned to this NPI record is 18D1041046 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/12/2012 and was last updated on 2/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes
2363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1122620OTHERINDIANAIN MEDICARE
2100075260MEDICAIDINDIANA
378902830MEDICAIDKENTUCKY
465906414MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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