First Urology, Psc
First Urology, Psc is a healthcare organization registered as Urology Physician in Louisville, KY, holding Type 2 (organization) NPI 1104183953 since 2012. The authorized official on file is Michael Shannon, Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1104183953 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | First Urology, Psc |
| Other name | <Unavail> |
| Parent organization | First Urology, Psc |
| Practice address | 3920 S DUPONT SQ STE C, Louisville, KY, 40207 |
| Phone | 5027210116 |
| Fax | 8122824172 |
| Enumeration date | 2012-04-18 |
| Last updated in NPPES | 2026-04-17 |
Authorized official
| Name | Michael Shannon |
|---|---|
| Title | Ceo |
| Phone | 8122823899 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | Secondary | — | — |
| 2085R0001X | Radiation Oncology Physician | Secondary | — | — |
| 2085R0202X | Diagnostic Radiology Physician | Secondary | — | — |
| 208800000X | Urology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65906414 | Medicaid | KY | — |
| 78902830 | Medicaid | KY | — |
Copy-ready billing details
Provider: First Urology, Psc NPI: 1104183953 Taxonomy: 208800000X (Urology Physician) Address: 3920 S DUPONT SQ STE C, Louisville, KY, 40207
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477511921 | Morris Jackson | Individual | Urology Physician | Louisville, KY |
| 1851617732 | Jonathan Witten | Individual | Urology Physician | Louisville, KY |
| 1275961823 | Stephanie Strobl | Individual | Family Nurse Practitioner | Louisville, KY |
| 1891592713 | Shelby Williams | Individual | Family Nurse Practitioner | Louisville, KY |
| 1700755980 | Lauren Lewis | Individual | Nurse Practitioner | Louisville, KY |
Verify this record
Cross-check NPI 1104183953 against the authoritative CMS record: view First Urology, Psc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is First Urology, Psc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-17.