Provider Demographics
NPI:1568843944
Name:ORDONEZ, NEMESIO RODRIGO (MD)
Entity type:Individual
Prefix:DR
First Name:NEMESIO
Middle Name:RODRIGO
Last Name:ORDONEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NEMESIO
Other - Middle Name:RA
Other - Last Name:ORDONEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:555 BELAIRE AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4783
Mailing Address - Country:US
Mailing Address - Phone:757-299-0598
Mailing Address - Fax:948-212-3241
Practice Address - Street 1:555 BELAIRE AVE STE 210
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4783
Practice Address - Country:US
Practice Address - Phone:757-299-0598
Practice Address - Fax:948-212-3241
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012614322084P0800X, 2084P0804X
171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No171000000XOther Service ProvidersMilitary Health Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD0000Medicare UPIN