DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RYAN ANTONAWICH DO

MEDICARE: RYAN ANTONAWICH DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician5101027619MI
2390200000XStudent in an Organized Health Care Education/Training Program5151015844MI
3207QS0010XSports Medicine (Family Medicine) Physician10177NE

General Provider Information

NPI Number : 1194454868
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN ANTONAWICH DO
Provider Business Mailing Address
First Line : 983075 NEBRAKSA MEDICAL CENTER
Second Line :
City : OMAHA
State : NE
Zip : 68198-3075
Country : US
Telephone Number : 402-559-0268
Fax Number :
Provider Business Practice Location Address
First Line : 983075 NEBRAKSA MEDICAL CENTER
Second Line :
City : OMAHA
State : NE
Zip : 68198-2151
Country : US
Telephone Number : 402-559-0268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2022
Last Update Date : 04/23/2025

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:
8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113
Practice Phone: 402-955-6140
Practice Fax: 402-955-3398
1609738434 — EVELYN GOMEZ-HERNANDEZ
Practice Location Address:
1807 S 60TH ST
OMAHA, NE
68106-2151
Practice Phone: 531-299-1080
Practice Fax:
1043649973 — MRS. ALLISON LANGE MS., SLP-CY
Practice Location Address:
1807 S 60TH ST
OMAHA, NE
68106-2151
Practice Phone: 531-299-1080
Practice Fax:
1316768823 — TAMIKA JEAN RUSSAVAGE
Practice Location Address:
1807 S 60TH ST
OMAHA, NE
68106-2151
Practice Phone: 531-299-1080
Practice Fax: 531-299-1099
1457169500 — MAGGIE LYNN SNYDER
Practice Location Address:
1807 S 60TH ST
OMAHA, NE
68106-2151
Practice Phone: 531-299-1080
Practice Fax:
1871301655 — MS. LAUREN ELIZABETH HAWKS
Practice Location Address:
1807 S 60TH ST
OMAHA, NE
68106-2151
Practice Phone: 531-299-1080
Practice Fax:

Directions to “ RYAN ANTONAWICH DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.