Provider Demographics
NPI:1205941069
Name:GERNHART, SARAH VONDRAK (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:VONDRAK
Last Name:GERNHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:VONDRAK
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:717 N. 190TH PLAZA SUITE 1200
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68022
Mailing Address - Country:US
Mailing Address - Phone:402-815-1700
Mailing Address - Fax:402-815-1955
Practice Address - Street 1:717 N. 190TH PLAZA SUITE 1200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68022
Practice Address - Country:US
Practice Address - Phone:402-815-1700
Practice Address - Fax:402-815-1955
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21299207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026301600Medicaid
NE47068731799Medicaid
IA1205941069Medicaid
NE278389Medicare PIN
NE47068731799Medicaid
NE10025837400Medicaid
NE10026301500Medicaid