FIRST UROLOGY, PSC (NPI# 1538426721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538426721 |
| Entity Type | Organization |
| Organization Name | FIRST UROLOGY, PSC |
| Practice Address |
642 W Hospital Rd Paoli IN 47454-9672 |
| Mailing Address |
101 Hospital Blvd Jeffersonville IN 47130-3769 |
| Practice Telephone | 5025840651 |
| Practice Fax Number | 8122824172 |
| Mailing Telephone | 8122823899 |
| 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 |
| Parent Organization TIN |
|
| 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 |
642 W HOSPITAL RD |
| City | PAOLI |
| State | IN |
| Zip Code | 47454-9672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703581 | Debbie J Hall | Emergency Medicine | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2005-07-08 |
| 1053891093 | Brittany Rose Friedman | Speech-Language Pathologist | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2018-08-20 |
| 1194267757 | Michael Daggy | Nurse Practitioner | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2016-11-14 |
| 1427430081 | Sergio S. Sales | Family Medicine | 642 W Hospital Rd, Paoli, IN 47454 | 2015-06-19 |
| 1295153468 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2014-04-03 |
| 1366773350 | Angela M Conklin | Nurse Anesthetist, Certified Registered | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2010-01-15 |
| 1457519324 | Indiana University Health Paoli Inc | Emergency Medicine | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2008-05-28 |
| 1548435043 | Indiana University Health Paoli Inc | Ambulance | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2008-04-25 |
| 1629265517 | Joel Stroud | Physical Therapist | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2007-09-25 |
| 1477744845 | Ent Associates of Southern Indiana, P.C. | Otolaryngology | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2007-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144657883 | Jasmita Ranchod | Psychologist | 488 W Hospital Road, Paoli, IN 47454 | 2013-09-26 |
| 1588928014 | Sarah Jones Whiteman | Nurse Practitioner | 560 W Longest Street, Paoli, IN 47454 | 2012-06-29 |
| 1538457809 | Total Renal Care Inc | Clinic/Center | 555 W Longest St, Paoli, IN 47454 | 2011-07-20 |
| 1487983391 | Southeast Township (orange County) Volunteer Fire Company In | Non-emergency Medical Transport (VAN) | 2723 East County Road 725south., Paoli, IN 47454 | 2009-12-24 |
| 1033341300 | Heather L. Terwiske | Social Worker | 488 W. Hospital Rd., Paoli, IN 47454 | 2009-08-19 |
| 1295957736 | Linda Carol Wells-freiberger | Nurse Practitioner | 202 Cherry Street, Paoli, IN 47454 | 2007-05-03 |
| 1215150222 | Roger W Dillman Dds PC | Dentist | 138 S Court Street, Paoli, IN 47454 | 2007-04-10 |
| 1043394133 | Herbert Ray Stevens | Dentist | 1326 W Leonard Circle, Paoli, IN 47454 | 2006-10-25 |
| 1083706162 | Glenn Jay Pedersen | Chiropractor | 421 Sw 1st St, Paoli, IN 47454 | 2006-09-28 |
| 1790795490 | Melissa Price | Social Worker | 946 S Ridgecrest Ln, Paoli, IN 47454 | 2006-08-08 |
| Find all providers in zip 47454 | ||||
| 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 |
|---|---|---|---|---|
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1396935912 | Joseph A Graversen | Urology | 209 W Lancaster Ave, Suite 200, Paoli, PA 19301-1749 | 2007-07-30 |
| 1396869012 | Western Main Line Urology PC | Urology | 255 W Lancaster Ave, Suite 333, Paoli, PA 19301-1763 | 2007-03-19 |
| 1922112119 | James R Bollinger, Md PC | Urology | 209 W Lancaster Ave, Suite 200, Paoli, PA 19301-1749 | 2006-08-18 |
| 1336156785 | James Richard Bollinger | Urology | 209 W Lancaster Ave, Suite 200, Paoli, PA 19301-1749 | 2006-08-01 |
| 1063410702 | Gregory M. Thompson | Urology | 255 W Lancaster Ave, Pmob IIi, Suite 333, Paoli, PA 19301-1763 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752799 | Mark Alexander Assmus | Urology | 1801 Senate Blvd Ste 220, Indianapolis, IN 46202-1260 | 2020-08-26 |
| 1124653803 | Catherine Baugher | Urology | 2525 W University Ave Ste 504, Muncie, IN 47303-3409 | 2020-03-03 |
| 1245881812 | Carol Jean Stephens | Urology | 1000 N 16th St Ste 210, New Castle, IN 47362-4319 | 2019-09-25 |
| 1376960302 | Mohammad Mahmoud | Urology | 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 | 2014-03-27 |
| 1114364064 | Alexander J Tatem | Urology | 8240 Naab Rd Ste 220, Indianapolis, IN 46260-1950 | 2013-06-03 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1861744997 | Vincent Joseph Santare | Urology | 134 Carnoustie Ln, Schererville, IN 46375-2926 | 2012-10-13 |
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1154681369 | Joshua David Roth | Urology | 705 Riley Hospital Dr Ste 4230, Indianapolis, IN 46202-5109 | 2012-05-22 |
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| Find all providers with the same taxonomy | ||||
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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.