HomeNPI Verification

NPI Verification

National Provider Identifier: 1972864114

Derrick Antoniak, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Gastroenterology

Code: 207RG0100X

All Specialties (3)

Internal Medicine, Gastroenterology

Code: 207RG0100X

Primary

Internal Medicine

Code: 207R00000X

Internal Medicine

Code: 207R00000X

Practice Address

988102 NEBRASKA MEDICAL CTR

OMAHA, NE 681988102

NPI Enumeration Date

June 5, 2012

NPI Number

1972864114

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry