Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PRESCOTT PLASTIC SURGERY & MED SPA PLLC
Active
Organization
PRESCOTT PLASTIC SURGERY & MED SPA PLLC
Active
Other names
Joseph C Banis Jr, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA PRESCOTT MD (OWNER/ PROVIDER)
(502) 589-8000
Entity
Organization
Contact information
Practice address
2507 BUSH RIDGE DR STE B, LOUISVILLE, KY 40245-5885
(502) 589-8000
(502) 589-8001
Mailing address
2507 BUSH RIDGE DR STE B, LOUISVILLE, KY 40245-5885
(502) 589-8000
(502) 589-8001
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD3586
RR MCR
KY
Enumeration date
09/20/2006
Last updated
11/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up