Organization Active NPI

Clara Jackson Schermerhorn, MD, PHD, LLC

  • Pediatrics Physician
  • Fremont, OH
National Provider Identifier
1790793917
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-088014 Issued in OH
Legal business name
CLARA JACKSON SCHERMERHORN, MD, PHD, LLC
Practice address
2539 Hayes Ave
Fremont, OH 43420-2638
Phone
(419) 334-9716
Fax
(419) 355-8171
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Clara Marie Schermerhorn, MDNPI 1497773998
Title
Physician
Phone
(419) 334-9716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 35-088014 OH
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171006001786 OH Part B Supplier - Clinic/Group Practice 5395010953 Receives reassigned benefits from 1 practitioner
Practice locations: Fremont, OH

National Provider Directory

National Provider Directory

Locations

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16176/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790793917",
    "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": "419-355-8171"
        },
        {
            "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": "419-355-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA JACKSON SCHERMERHORN, MD, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SCHERMERHORN",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-334-9716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-088014",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-088014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "35-088014",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.