FIRST UROLOGY, PSC (NPI# 1477810687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477810687 |
| Entity Type | Organization |
| Organization Name | FIRST UROLOGY, PSC |
| Practice Address |
115 Huston Dr Shepherdsville KY 40165-7250 |
| Mailing Address |
101 Hospital Blvd Jeffersonville IN 47130-3769 |
| Practice Telephone | 5029557311 |
| Practice Fax Number | 8122824172 |
| Mailing Telephone | 8122823899 |
| Mailing Fax Number | 8122824172 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-05-03 |
| Authorized Official Name | MICHAEL J SHANNON (CEO) |
| Authorized Official Telephone | 8122823899 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIRST UROLOGY, PSC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65906414 | 05 | |
| KY | 78902830 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598768 | First Urology, Psc | Nurse Practitioner | 3900 S Dupont Sq Ste C, Louisville, KY 40207-5600 | 2018-11-27 |
| 1114408036 | First Urology, Psc | Nurse Practitioner | 1900 Bluegrass Ave Ste 203, Louisville, KY 40215-1182 | 2018-08-28 |
| 1174004006 | First Urology, Psc | Nurse Practitioner | 3 Audubon Plaza Dr Ste 310, Louisville, KY 40217-1319 | 2018-08-28 |
| 1790124055 | First Urology, Psc | Urology | 8442 Dixie Hwy, Louisville, KY 40258-1140 | 2013-06-20 |
| 1760732515 | First Urology, Psc | Nurse Practitioner | 279 Kings Daughters Dr, Suite 200, Frankfort, KY 40601-6561 | 2012-09-19 |
| 1366700734 | First Urology, Psc | Nurse Practitioner | 1919 State St, Ste 200, New Albany, IN 47150-4929 | 2012-04-24 |
| 1295092047 | First Urology, Psc | Nurse Practitioner | 1903 W Hebron Ln, Suite 202, Shepherdsville, KY 40165-7425 | 2012-04-18 |
| 1912264771 | First Urology, Psc | Nurse Practitioner | 100 E Market St, Louisville, KY 40202-1306 | 2012-04-18 |
| 1821355686 | First Urology, Psc | Nurse Practitioner | 1322 Spring St, Jeffersonville, IN 47130-3706 | 2012-04-18 |
| 1104183953 | First Urology, Psc | Nurse Practitioner | 3920 S Dupont Sq, Louisville, KY 40207-4615 | 2012-04-18 |
| Street Address |
115 HUSTON DR |
| City | SHEPHERDSVILLE |
| State | KY |
| Zip Code | 40165-7250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003871518 | Stephen C. Payne | Family Medicine | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2006-04-18 |
| 1073168381 | Nathan Glen Hobbs | Physical Therapist | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2019-08-04 |
| 1528509460 | Amanda Jolene Parker | Nurse Practitioner | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2017-03-11 |
| 1851834295 | Ryan Hamilton | Physical Therapist | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2016-12-01 |
| 1992258347 | Christopher Hartlage | Physical Therapist | 115 Huston Dr, Suite 3, Shepherdsville, KY 40165-7250 | 2016-08-02 |
| 1073855433 | Libby Wilson Mims | Pediatrics | 115 Huston Dr, Suite 2, Shepherdsville, KY 40165-7250 | 2013-03-25 |
| 1538337886 | Christina N. Caswell | Physical Therapist | 115 Huston Dr, Suite 3, Shepherdsville, KY 40165-7250 | 2008-02-20 |
| 1538295845 | Larry Madison Ryle | Internal Medicine | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2007-02-23 |
| 1518031269 | Heather A Potter | Nurse Practitioner | 115 Huston Dr, Suite 1, Shepherdsville, KY 40165-7250 | 2006-11-17 |
| 1629010889 | Charles Kevin Owens | Physical Therapist | 115 Huston Dr, Suite 3, Shepherdsville, KY 40165-7250 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
| 1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
| 1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
| 1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
| 1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
| 1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
| 1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
| Find all providers in zip 40165 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874463 | Zeus Urological Services Southeast Kentucky Urology | Urology | 123 N 19th St Ste 203, Middlesboro, KY 40965-2865 | 2019-01-07 |
| 1124559190 | Nadia Gabriela Romero | Urology | 800 Rose St Rm Mn-283, Lexington, KY 40536 | 2017-03-22 |
| 1700297728 | Ahmed Haddad | Urology | 401 East Chestnut Street, #480, Louisville, KY 40202-9110 | 2014-05-13 |
| 1831533843 | Andrew Todd | Urology | 793 Eastern Byp Ste 101, Richmond, KY 40475-2425 | 2013-04-20 |
| 1053656991 | Baptist Health Richmond, Inc. | Urology | 1013 Center Drive, #5, Richmond, KY 40475-2407 | 2012-12-04 |
| 1962757187 | Daniel James Warburton | Urology | 1301 Pleasant Valley Rd Ste 302, Owensboro, KY 42303-9774 | 2012-07-14 |
| 1184915373 | Kellen Bo Yung Choi | Urology | 401 E Chestnut St Unit 480, Louisville, KY 40202-5704 | 2011-04-22 |
| 1922397033 | Alison Marie Rasper | Urology | Uk Urology 740 S Limestone Ste B200, Lexington, KY 40536-1522 | 2011-03-30 |
| 1699084731 | Lexington Unique Care Inc | Urology | 2628 Wilhite Dr, Lexington, KY 40503 | 2010-10-06 |
| 1659691053 | Ali Mahmoud Ziada | Urology | Urology Univ of Ky Med Ctr 800 Rose St, Room Ms 237, Lexington, KY 40536-0298 | 2010-06-08 |
| Find all providers with the same taxonomy | ||||
| City | SHEPHERDSVILLE |
| Zip Code | 40165 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.