OrganizationActive
First Urology, Psc
NPI 1104183953 · Urology Physician · Louisville, KY
Provider details
- NPI number
- 1104183953
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- First Urology, Psc
- Organization subpart
- Yes
- Authorized official
- Michael Shannon, Ceo(812) 282-3899
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
- Radiation Oncology Physician2085R0001X
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Practice location
3920 S Dupont Sq Ste C
Louisville, KY 40207-4615
Phone: (502) 721-0116
Fax: (812) 282-4172
Approximate (ZIP-level) locationGet directions
Mailing address
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Other names (DBA / former)
- Doing business as
- Southern Indiana Radiation Therapy Center
Registry dates
- Enumerated
- 2012-04-18
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.