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

Leah Nicole Herzog, MD

Individual provider Surgery Physician · NPI 1780066530

Leah Nicole Herzog, MD is an Orthopedic Surgery in Charleston, South Carolina. Graduated from Drexel University College of Medicine in 2015, 11 years ago. Practices with Riverside Physician Services Inc, a 793-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Trained at
Drexel University College of Medicine
Licensed in
SC
In the registry since
2015
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

169 Ashley Ave Rm 202 Main Hospital Msc 333
Charleston, SC 29425-8905
Phone: (843) 792-3072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 38589 (SC)

Record details

NPI number1780066530
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2015
Last updated in NPPESJune 28, 2015

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Riverside Physician Services Inc — 793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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