FIRST UROLOGY, PSC (NPI# 1760749956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760749956 |
| Entity Type | Organization |
| Organization Name | FIRST UROLOGY, PSC |
| Practice Address |
1023 New Moody Ln Suite 202 La Grange KY 40031-9177 |
| Mailing Address |
101 Hospital Blvd Jeffersonville IN 47130-3769 |
| Practice Telephone | 5028977172 |
| 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 | 78902830 | 05 | |
| KY | 65906414 | 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 |
1023 NEW MOODY LN SUITE 202 |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-9177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144270018 | Paige Primary Care Center | Internal Medicine | 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | 2006-05-11 |
| 1619221884 | Sarah Elizabeth Clark | Nurse Practitioner | 1023 New Moody Ln, Suite 102, La Grange, KY 40031 | 2012-11-09 |
| 1033484498 | Sarah Thayer | Internal Medicine | 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | 2012-03-19 |
| 1174837637 | Jamie C. Hubbard | Specialist/Technologist, Other | 1023 New Moody Ln, Suite 102, La Grange, KY 40031-9177 | 2010-07-27 |
| 1215268701 | Kristi Leigh Tingle | Nurse Practitioner | 1023 New Moody Ln, Ste 103, La Grange, KY 40031-9177 | 2010-01-22 |
| 1881920759 | Shiela Rhoads, M.d., Pllc | Internal Medicine | 1023 New Moody Ln, Suite 202 A, La Grange, KY 40031-9177 | 2009-10-27 |
| 1023217197 | Bluegrass Orthopedic Group Psc | Specialist | 1023 New Moody Ln, Ste 102, La Grange, KY 40031-9177 | 2007-07-17 |
| 1558564633 | Nicholas Allen Kenney | Orthopaedic Surgery | 1023 New Moody Ln, Suite 102, La Grange, KY 40031-9177 | 2007-06-07 |
| 1235270448 | Robin Grant Kindig | Internal Medicine | 1023 New Moody Ln, Suite 201, La Grange, KY 40031-9177 | 2007-02-09 |
| 1871652586 | David O Watts | Specialist/Technologist, Other | 1023 New Moody Ln, Suite 102, La Grange, KY 40031-9177 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| 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 |
|---|---|---|---|---|
| 1851638555 | David Marion Stahl | Urology | 8139 Schramm Rd, La Grange, TX 78945-5346 | 2013-01-15 |
| 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 |
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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.