Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacques A Herzog, MD

Individual provider Specialist · NPI 1255330650

Dr. Jacques A Herzog, MD is an Otolaryngology in Saint Louis, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 1980, 46 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
46
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

450 N New Ballas Rd Dept Otolaryngology Ste 140
Saint Louis, MO 63141-6859
Phone: (314) 362-7509
Fax: (314) 453-0561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otology & Neurotology Physician (primary) Taxonomy 207YX0901X · Licence R7F68 (MO)
Specialist Taxonomy 174400000X · Licence R7F68 (MO)

Record details

NPI number1255330650
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2005
Last updated in NPPESApril 17, 2025
Certification dateMarch 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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