Individual
KENNETH WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 MATTHEW ST, SUITE 303, MARIETTA, OH 45750-1644
(740) 373-7828
(740) 373-5898
Mailing address
201 N MOUNTAIN RD, PLAINVILLE, CT 06062-1848
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35.097897
OH
208800000X
Urology Physician
47702
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000727239
ANTHEM
OH
01
—
000000728272
ANTHEM
OH
05
—
0052750
—
OH
05
—
3810021225
—
WV
01
—
P01216329
RAILROAD MEDICARE
OH
Enumeration date
03/27/2006
Last updated
08/14/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us