OrganizationActive
First Urology, Psc
NPI 1396002481 · Urology Physician · Mt Washington, KY
Provider details
- NPI number
- 1396002481
- 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
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 High Point Ct
Mt Washington, KY 40047-6560
Phone: (502) 955-6129
Fax: (812) 282-4172
Approximate (ZIP-level) locationGet directions
Mailing address
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Registry dates
- Enumerated
- 2012-04-13
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.