Provider Demographics
NPI:1437792165
Name:OSCAR I ORDONEZ
Entity Type:Organization
Organization Name:OSCAR I ORDONEZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:I
Authorized Official - Last Name:ORDONEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-468-6337
Mailing Address - Street 1:PO BOX 443
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47390-0443
Mailing Address - Country:US
Mailing Address - Phone:765-964-4100
Mailing Address - Fax:765-964-4300
Practice Address - Street 1:218 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PARKER CITY
Practice Address - State:IN
Practice Address - Zip Code:47368-8901
Practice Address - Country:US
Practice Address - Phone:765-468-6337
Practice Address - Fax:765-468-6536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty