Individual
OSCAR I ORDONEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5091 E JACKSON ST, MUNCIE, IN 47303-4486
(765) 468-6337
(765) 468-6536
Mailing address
5091 E JACKSON ST, MUNCIE, IN 47303-4486
(765) 468-6337
(765) 468-6536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01041437A
IN
208M00000X
Hospitalist Physician
01041437A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089346
PARKER CITY BC/BS
IN
01
—
00432010
IL BC/BS #
IL
05
—
0132056
—
OH
05
—
036102486
—
IL
05
—
100211480
—
IN
01
—
351889399
IL TRICARE #
IL
Enumeration date
11/28/2005
Last updated
03/03/2022
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