Healthcare Provider Details

I. General information

NPI: 1568843944
Provider Name (Legal Business Name): NEMESIO R ORDONEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: NEMESIO R.A. ORDONEZ M.D.

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 BELAIRE AVE STE 350
CHESAPEAKE VA
23320-4789
US

IV. Provider business mailing address

555 BELAIRE AVE STE 350
CHESAPEAKE VA
23320-4789
US

V. Phone/Fax

Practice location:
  • Phone: 844-863-4621
  • Fax: 757-257-5143
Mailing address:
  • Phone: 844-863-4621
  • Fax: 757-257-5143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD61565232
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0101261432
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMEDPHYSLIC161589
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101261432
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: