Organization Active NPI

Maternohio Clinical Associates LLC

  • Specialist
  • Columbus, OH
National Provider Identifier
1013008192
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35083946 Issued in OH
Legal business name
MATERNOHIO CLINICAL ASSOCIATES LLC
Practice address
1315 W Lane Ave Ste D
Columbus, OH 43221-3544
Phone
(614) 457-4827
Fax
(614) 326-0250
NPI assigned
Sep 27, 2006
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jim Yerina
Title
Chief Financial Officer
Phone
(614) 641-4024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35083946 OH Primary

Addresses

Primary practice location

1315 W Lane Ave Ste D
Columbus, OH 43221-3544

Mailing address

1700 Lake Shore Dr Ste 350
Columbus, OH 43204-4895

Other identifiers 2

IdentifierTypeStateIssuer
2586296MedicaidOH
DE1422OtherOHMEDICARE RAILROAD GROUP NUMBER

Other names 1

  • MaternOhio Clinical Associates Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050823001203 OH Part B Supplier - Clinic/Group Practice 4587695192 Receives reassigned benefits from 71 practitioners
Practice locations: Westerville, OH; Urbana, OH; Columbus, OH; Powell, OH; Marysville, OH; Grove City, OH; Gahanna, OH; Dublin, OH…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0330041Maternohio Clinical Associates Inc Dba1315 West Lane Avenue, Columbus, OH 43221Provider-performed microscopyMay 5, 2027

National Provider Directory

National Provider Directory

Locations

2527 US Highway 68 S
Bellefontaine, OH 43311

2527 US Highway 68 S
Ste 1
Bellefontaine, OH 43311
Phone (937) 644-1244

1241 Dublin Rd
Columbus, OH 43215
Phone (614) 255-5343

1241 Dublin Rd
Ste 200
Columbus, OH 43215
Phone (614) 255-5349

1315 W Lane Ave
Ste D
Columbus, OH 43221
Phone (614) 457-4827

1700 Lake Shore Dr
Ste 350
Columbus, OH 43204

3600 Olentangy River Rd
Ste 490
Columbus, OH 43214
Phone (614) 459-1000

275 Graham Rd
Ste 6
Cuyahoga Falls, OH 44223
Phone (330) 668-6545

5150 Bradenton Ave
Ste A
Dublin, OH 43017
Phone (614) 459-1000

7450 Hospital Dr
Ste 200
Dublin, OH 43016
Phone (614) 659-9519

5175 Morse Rd
Ste 300
Gahanna, OH 43230
Phone (614) 245-4263

3656 Broadway
Grove City, OH 43123
Phone (614) 875-4191

10330 Sawmill Pkwy
Ste 600
Powell, OH 43065
Phone (614) 627-1850

300 Polaris Pkwy
Ste 2600
Westerville, OH 43082
Phone (614) 659-9519

460 Polaris Pkwy
Ste 210
Westerville, OH 43082
Phone (614) 459-1000

507 Executive Campus Dr
Ste 160
Westerville, OH 43082
Phone (614) 459-1000

6565 Worthington Galena Rd
Ste A102
Worthington, OH 43085
Phone (614) 885-8167

Practitioners & affiliated clinicians

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 73

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1013008192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LAKE SHORE DR STE 350",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 W LANE AVE STE D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213544",
            "telephone_number": "614-457-4827",
            "fax_number": "614-326-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNOHIO CLINICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "YERINA",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "614-641-4024"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35083946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2586296",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP NUMBER",
            "identifier": "DE1422",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaternOhio Clinical Associates Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.