FIRST UROLOGY PSC NPI 1891052007

NPI Information

  • NPI: 1891052007
  • Provider Name: FIRST UROLOGY, PSC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 18D0693626
  • Address: 3 AUDUBON PLAZA DR
    SUITE L10
    LOUISVILLE, KY
    ZIP 40217
  • Phone: (502) 634-1418

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NPI Details

FIRST UROLOGY, PSC is an urology in Louisville, KY. 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 1891052007. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 AUDUBON PLAZA DR
SUITE L10
LOUISVILLE, KY
ZIP 40217-300
Phone: (502) 634-1418
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 18D0693626 - physician office 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 10/22/2025.

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
1363L00000XNurse PractitionerNo
2208800000XUrologyYes

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
165906414MEDICAIDKENTUCKY
278902830MEDICAIDKENTUCKY

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: 11/21/2025

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