Provider Demographics
NPI:1649284027
Name:WEISSEND, KURT JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:JOSEPH
Last Name:WEISSEND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:141 VERSTREET DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-4105
Mailing Address - Country:US
Mailing Address - Phone:585-730-8240
Mailing Address - Fax:585-730-8311
Practice Address - Street 1:1425 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3011
Practice Address - Country:US
Practice Address - Phone:585-922-4159
Practice Address - Fax:585-922-3731
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174668207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01241987Medicaid
NYP020174668OtherEXCELLUS
NY101242AFOtherPREFERRED CARE
CC9237Medicare ID - Type Unspecified
NY101242AFOtherPREFERRED CARE