NPIMap

First Urology, PSC

Organization Active NPI Radiation Oncology Physician · Jeffersonville, IN

NPI 1821355686 · NPPES record last updated Oct 22, 2025

Key facts

NPI
1821355686
Entity type
Organization (NPI type 2)
Primary specialty
Radiation Oncology Physician 2085R0001X
Legal business name
FIRST UROLOGY, PSC
Practice address
1322 Spring St
Jeffersonville, IN 47130-3706
Phone
(812) 285-6000
Fax
(812) 285-6010
NPI assigned
Apr 18, 2012
Organization subpart
Yes
Parent organization (as reported)
FIRST UROLOGY, PSC

Authorized official

Name
Michael J Shannon
Title
Ceo
Phone
(812) 282-3899

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Metropolitan Urology PS (17 organizations share this tax ID)
Part of
Metropolitan Urology PS

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0001X Yes
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

1322 Spring St
Jeffersonville, IN 47130-3706

Mailing address

101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899

Other identifiers

IdentifierTypeStateIssuer
78902830MedicaidKY
65906414MedicaidKY

Other names

  • Southern Indiana Radiation Therapy Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 22, 2025.

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1821355686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL BLVD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303769",
            "telephone_number": "812-282-3899",
            "fax_number": "812-282-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 SPRING ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303706",
            "telephone_number": "812-285-6000",
            "fax_number": "812-285-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST UROLOGY, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST UROLOGY, PSC",
        "enumeration_date": "2012-04-18",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-282-3899"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78902830",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65906414",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Indiana Radiation Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jeffersonville, IN

All providers in Jeffersonville, IN · Radiation Oncology Physician in Indiana

Sources for this page

Verify at the official NPI Registry.