FIRST UROLOGY, PSC (NPI# 1790042901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790042901 |
| Entity Type | Organization |
| Organization Name | FIRST UROLOGY, PSC |
| Practice Address |
6500 Preston Hwy Louisville KY 40219-1820 |
| Mailing Address |
101 Hospital Blvd Jeffersonville IN 47130-3769 |
| Practice Telephone | 5029556129 |
| 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 | 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 |
6500 PRESTON HWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093715195 | Monita Chary | Internal Medicine | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2005-07-29 |
| 1295201770 | Kasey Fawbush | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2018-10-22 |
| 1932675865 | Pediatric and Neonatal Specialists | Pediatrics | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2018-10-18 |
| 1083180905 | Allison Mckenzie Theobald | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2018-10-18 |
| 1518456888 | Sarah Simpson | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2018-05-02 |
| 1538667076 | Monica Vermani Durr | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2018-01-30 |
| 1245762442 | Kara Lee Scott | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2017-03-28 |
| 1396103404 | Cynthia Lynn Williams | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219 | 2016-02-03 |
| 1477875920 | Beth A Karaoud | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2010-02-25 |
| 1306093828 | Pollyanna Henzman Strunk | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2008-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| 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 |
|---|---|---|---|---|
| 1700297728 | Ahmed Haddad | Urology | 401 East Chestnut Street, #480, Louisville, KY 40202-9110 | 2014-05-13 |
| 1184915373 | Kellen Bo Yung Choi | Urology | 401 E Chestnut St Unit 480, Louisville, KY 40202-5704 | 2011-04-22 |
| 1568566792 | Arnold M Belker | Urology | 2710 Alia Cir, Louisville, KY 40222-6494 | 2006-09-08 |
| 1619986973 | Dennis S Peppas | Urology | 4123 Dutchman's Lane, Suite 102, Louisville, KY 40207-5832 | 2006-08-05 |
| 1477511921 | Morris B Jackson | Urology | 3920 S Dupont Sq Ste C, Louisville, KY 40207-4615 | 2006-05-03 |
| 1316926298 | Jamie C. Messer | Urology | 234 E Gray St Ste 662, University of Louisville Department of Urology, Louisville, KY 40202-1921 | 2006-01-10 |
| 1841294659 | John G Hubbard | Urology | 3924 S Dupont Sq, Suite A, Louisville, KY 40207-5912 | 2005-06-09 |
| 1356991939 | Advanced Urology, Pllc | Urology | 90 Health Park Dr Ste 340, Louisville, CO 80027-9586 | 2019-09-16 |
| 1790124055 | First Urology, Psc | Urology | 8442 Dixie Hwy, Louisville, KY 40258-1140 | 2013-06-20 |
| 1598002032 | Sandhya R Rao | Urology | 234 E Gray St Ste 662, Louisville, KY 40202-1921 | 2013-01-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
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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.