Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN ANTONAWICH, DO
ActiveSports Medicine · OMAHA, NE
Registration Details
- NPI Number
- 1194454868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2022 (3.8681524200897 yrs)
- Last Updated
- Apr 23, 2025
- Licenses
-
5101027619 (MI)5151015844 (MI)10177 (NE)
Practice Information
- Address
-
983075 NEBRAKSA MEDICAL CENTEROMAHA, NE, 681982151Browse NE providers · Browse ZIP 68198
- Phone
- 4025590268
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| AMARD ABCEJO | DO | 1134571862 |
| JULIA L BLACK | DO | 1114379872 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.