JOSEPH C. BANIS, JR., M.D., P.S.C. (NPI# 1124125497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124125497 |
| Entity Type | Organization |
| Organization Name | JOSEPH C. BANIS, JR., M.D., P.S.C. |
| Practice Address |
2507 Bush Ridge Dr Ste B Louisville KY 40245-5885 |
| Practice Telephone | 5025898000 |
| Practice Fax Number | 5025898001 |
| Mailing Telephone | 5025898000 |
| Mailing Fax Number | 5025898001 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | DR. JOSEPH C BANIS JR. (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 5025898000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RR MCR | DD3586 | 01 |
| Street Address |
2507 BUSH RIDGE DR STE B |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40245-5885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717274 | Joseph C. Banis Jr. | Surgery | 2507 Bush Ridge Dr Ste B, Louisville, KY 40245-5885 | 2005-06-01 |
| 1225337934 | Tathyana Marques F Fensterer | Surgery | 2507 Bush Ridge Dr Ste B, Louisville, KY 40245 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247753 | Stepping Stones Pediatric Therapy, LLC | Early Intervention Provider Agency | 330 Cranbury Way, Louisville, KY 40245 | 2020-02-20 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
| 1750808937 | Amy Judy | Assistant Behavior Analyst | 4512 Meadowlark Manor Dr, Louisville, KY 40245 | 2017-08-28 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1952830135 | Staci Marie Trofimov | Dietitian, Registered | 13008 Willow Forest Drive, Louisville, KY 40245 | 2017-06-09 |
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| 1861867830 | Jamila Hadden | Counselor | 111 Parkview Dr., Louisville, KY 40245 | 2015-12-02 |
| 1538570312 | Brian Johnson | Case Manager/Care Coordinator | 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 | 2014-05-14 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| Find all providers in zip 40245 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255837696 | Edgar A. Lopez-suescum | Surgery | 726 Zorn Ave Apt 1, Louisville, KY 40206-1447 | 2018-04-04 |
| 1346402948 | Scott Joseph Rapp | Surgery | 222 S 1st St Ste 100, Louisville, KY 40202-1350 | 2008-06-26 |
| 1053339473 | Brian P Thornton | Surgery | 315 E Broadway Ste 300, Louisville, KY 40202-3700 | 2006-07-17 |
| 1235188863 | Ramsey Kevin Majzoub | Surgery | 6440 Dutchmans Pkwy, Suite 210, Louisville, KY 40205-3338 | 2006-05-10 |
| 1053313221 | Vera C Van Aalst-barker | Surgery | 901 Dupont Rd, Ste 202, Louisville, KY 40207-4644 | 2005-06-01 |
| 1093717274 | Joseph C. Banis Jr. | Surgery | 2507 Bush Ridge Dr Ste B, Louisville, KY 40245-5885 | 2005-06-01 |
| 1982257077 | Saud A Alkabbaa | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-07-18 |
| 1194130948 | Katherine Mckenna Kottwitz | Surgery | 2341 Lime Kiln Ln, Louisville, KY 40222-3460 | 2014-06-30 |
| 1730501784 | University of Louisville Research Foundation | Surgery | 550 S Jackson St, Louisville, KY 40202-1622 | 2014-01-10 |
| 1245597293 | University of Louisville Physicians, Inc. | Surgery | 550 S Jackson St, 2nd Floor, Louisville, KY 40202-1622 | 2012-04-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40245 |
Please comment or provide details below to improve the information on JOSEPH C. BANIS, JR., M.D., P.S.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.