Healthcare Provider Details

I. General information

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

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

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 BELAIRE AVE STE 210
CHESAPEAKE VA
23320-4783
US

IV. Provider business mailing address

555 BELAIRE AVE STE 210
CHESAPEAKE VA
23320-4783
US

V. Phone/Fax

Practice location:
  • Phone: 757-299-0598
  • Fax: 948-212-3241
Mailing address:
  • Phone: 757-299-0598
  • Fax: 948-212-3241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0101261432
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101261432
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: