Individual provider Active NPI

Clara Marie Schermerhorn, M.D.

  • Pediatrics Physician
  • Fremont, OH
National Provider Identifier
1497773998
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-088014 Issued in OH
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

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
35-088014OtherOHOHIO MEDICAL LICENSE

Other names 1

  • Dr. Clara Marie Jackson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000000 OH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3274536859 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-088014OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Jackson Schermerhorn, MD, PHD, LLC Internal Medicine CurrentSince May 22, 2010 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

2539 Hayes Ave
Fremont, OH 43420
Phone (419) 334-9716

Interoperability endpoints

  • Direct secure messaging: clara.schermerhorn.1@16176.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.