Active NPI
Clara Marie Schermerhorn, M.D.
- Pediatrics Physician
- Fremont, OH
National Provider Identifier
1497773998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-088014
- Practice address
- 2539 Hayes Ave
Fremont, OH 43420-2638 - Phone
- (419) 334-9716
- Fax
- (419) 333-8171
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-088014 | OH | |
| Pediatrics Physician | 208000000X | 35-088014 | OH | Primary |
Addresses
Primary practice location
2539 Hayes Ave
Fremont, OH 43420-2638
Mailing address
2539 Hayes Ave
Fremont, OH 43420-2638
Phone (419) 334-9716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35-088014 | Other | OH | OHIO MEDICAL LICENSE |
Other names 1
- Dr. Clara Marie Jackson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060822000000 | OH | Practitioner - Internal Medicine | 3274536859 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-088014 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clara Jackson Schermerhorn, MD, PHD, LLC | Internal Medicine | Current | Accepting new patients |
| Memorial Hospital | Past | Accepting new patients |
Locations
2539 Hayes Ave
Fremont, OH 43420
Phone (419) 334-9716
Interoperability endpoints
- clara.schermerhorn.1@16176.direct.athenahealth.com
- https://api.platform.athenahealth.com/16176/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Fremont, OH
- NPI 1790793917
Internal Medicine, OH
-
- General Acute Care Hospital
- Fremont, OH
- NPI 1851338149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1497773998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2539 HAYES AVE",
"city": "FREMONT",
"state": "OH",
"postal_code": "434202638",
"telephone_number": "419-334-9716",
"fax_number": "419-333-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2539 HAYES AVE",
"city": "FREMONT",
"state": "OH",
"postal_code": "434202638",
"telephone_number": "419-334-9716",
"fax_number": "419-333-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERMERHORN",
"first_name": "CLARA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-088014",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-088014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAL LICENSE",
"identifier": "35-088014",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CLARA",
"last_name": "JACKSON",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.