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PRESCOTT PLASTIC SURGERY & MED SPA PLLC
NPI 1124125497
Surgery - Plastic and Reconstructive Surgery in Louisville, KY

Active since September 20, 2006
2507 BUSH RIDGE DR STE B, LOUISVILLE, KY 40245(502) 589-8000(502) 589-8001 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, May 7, 2019 (2 updates tracked since 2019).

About Prescott Plastic Surgery & Med Spa Pllc NPPES

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

PRESCOTT PLASTIC SURGERY & MED SPA PLLC (NPI 1124125497), doing business as Joseph C Banis Jr, Pllc, is a healthcare organization registered as a plastic and reconstructive surgery in Louisville, Kentucky and active in the NPI registry since September 2006. The organization lists Angela Prescott, Owner/ Provider, as its authorized official.

NPPES Registry Identity

NPI1124125497
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePRESCOTT PLASTIC SURGERY & MED SPA PLLC
Location Address2507 BUSH RIDGE DR STE BLouisville, KY 40245-5885
Mailing Address2507 Bush Ridge Dr Ste BLouisville, KY 40245-5885 · (502) 589-8000 · Fax (502) 589-8001
Phone(502) 589-8000
Fax(502) 589-8001
Organization SubpartNo
Authorized OfficialAngela PrescottOwner/ Provider · (502) 589-8000
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1124125497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2507 BUSH RIDGE DR STE B, Louisville, KY 40245
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Other Names 1

Former Legal Business NameJoseph C Banis Jr, Pllc

Other Identifiers 1

OtherDD3586KY · Rr Mcr

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. JOSEPH C. BANIS JR. MD
Surgery (Plastic and Reconstructive Surgery)
2507 BUSH RIDGE DR STE B
LOUISVILLE, KY 40245
Jefferson County (502) 589-8000
MRS. TATHYANA MARQUES F FENSTERER M.D.
Surgery (Plastic and Reconstructive Surgery)
2507 BUSH RIDGE DR STE B
LOUISVILLE, KY 40245
Jefferson County (502) 589-8000
MS. ANGELA TE-FANG PRESCOTT M.D.
Surgery (Plastic and Reconstructive Surgery)
2507 BUSH RIDGE DR STE B
LOUISVILLE, KY 40245
Jefferson County (502) 589-8000

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 Prescott Plastic Surgery & Med Spa PLLC's NPI number?

The NPI number for Prescott Plastic Surgery & Med Spa PLLC is 1124125497. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider was formerly known as Joseph C Banis Jr, PLLC.

Where is Prescott Plastic Surgery & Med Spa PLLC located?

Prescott Plastic Surgery & Med Spa PLLC is located at 2507 Bush Ridge Dr Ste B, Louisville, KY 40245. The listed phone number is (502) 589-8000.

What is Prescott Plastic Surgery & Med Spa PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

What insurance does Prescott Plastic Surgery & Med Spa PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Prescott Plastic Surgery & Med Spa PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prescott Plastic Surgery & Med Spa PLLC was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.