OrganizationActive
First Urology, Psc
NPI 1760749956 · Urology Physician · La Grange, KY
Provider details
- NPI number
- 1760749956
- 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
Practice location
1023 New Moody Ln Ste 202a
La Grange, KY 40031-9177
Phone: (502) 897-7172
Fax: (812) 282-4172
Approximate (ZIP-level) locationGet directions
Mailing address
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Registry dates
- Enumerated
- 2012-04-12
- 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.