1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Urology
  6. NPI Profile

FIRST UROLOGY, PSC
NPI 1104183953
Urology in Louisville, KY

Active since April 18, 2012CLIA 18D0857088 · Microscopy
3920 S DUPONT SQ STE C, LOUISVILLE, KY 40207(502) 721-0116(812) 282-4172 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Mar 11, 2026, Apr 9, 2025 and 3 more (6 updates tracked since 2021).

About First Urology, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRST UROLOGY, PSC (NPI 1104183953), doing business as Southern Indiana Radiation Therapy Center, is a healthcare organization registered as an urology in Louisville, Kentucky and active in the NPI registry since April 2012. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Michael J Shannon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104183953
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFIRST UROLOGY, PSC
Location Address3920 S DUPONT SQ STE CLouisville, KY 40207-4615
Mailing Address101 Hospital BlvdJeffersonville, IN 47130-3769 · (812) 282-3899 · Fax (812) 282-4172
Phone(502) 721-0116
Fax(812) 282-4172
Organization SubpartYes
Authorized OfficialMichael J ShannonCeo · (812) 282-3899
Enumeration DateApril 18, 2012
Last NPPES UpdateApril 17, 20266 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1104183953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
Also ListedNurse PractitionerTaxonomy 363L00000X
3920 S DUPONT SQ STE C, Louisville, KY 40207
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthern Indiana Radiation Therapy Center

Other Identifiers 2

Medicaid65906414KY
Medicaid78902830KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D0857088

First Urology Psc · Louisville, KY
Active · expires Aug 31, 2026
CLIA Number18D0857088
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Morris B. Jackson
Laboratory Phone(502) 721-0116
Laboratory LocationFirst Urology Psc3920 S Dupont Square, Louisville, KY 40207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE STROBL APRN
Nurse Practitioner (Family)
3920 S DUPONT SQ STE C
LOUISVILLE, KY 40207
Jefferson County (812) 282-3899
MORRIS B JACKSON MD
Urology
3920 S DUPONT SQ STE C
LOUISVILLE, KY 40207
Jefferson County (812) 282-3899
LAUREN LEWIS APRN
Nurse Practitioner
3920 S DUPONT SQ STE C
LOUISVILLE, KY 40207
Jefferson County (812) 282-3899
DR. JONATHAN LEWIS WITTEN M.D.
Urology
3920 S DUPONT SQ STE C
LOUISVILLE, KY 40207
Jefferson County (812) 282-3899
SHELBY S WILLIAMS APRN
Nurse Practitioner (Family)
3920 S DUPONT SQ STE C
LOUISVILLE, KY 40207
Jefferson County (812) 282-3899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is First Urology, Psc's NPI number?

The NPI number for First Urology, Psc is 1104183953. It was assigned to this organization in the NPPES registry on April 18, 2012. The provider is doing business as Southern Indiana Radiation Therapy Center.

Where is First Urology, Psc located?

First Urology, Psc is located at 3920 S Dupont Sq Ste C, Louisville, KY 40207. The listed phone number is (502) 721-0116.

What is First Urology, Psc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does First Urology, Psc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D0857088) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for First Urology, Psc was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.