Jacques a. Herzog, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

R7F68 Issued in MO

Legal business name

JACQUES A. HERZOG, M.D., INC.

Doing business as

The Center For Hearing And Balance Disorders

Practice address

226 S Woods Mill Rd
58W
Chesterfield, MO 63017

Phone

(314) 453-0001

Fax

(314) 453-0489

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacques Herzog, M.D.

Title

Physician/President

Phone

(314) 453-0001

Specialties & licenses 1

Addresses

Other names 1

• The Center For Hearing And Balance Disorders Doing business as

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558454116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "58W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-453-0001",
            "fax_number": "314-453-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "58W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-453-0001",
            "fax_number": "314-453-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUES A. HERZOG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "314-453-0001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R7F68",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center For Hearing And Balance Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quiana Jackson, FNP
• Sarah Ruth Jackson, DNP
• Taylor Jackson, LCSW
• Daryl L Jacobs, MD
• Shanell Jacobs
• Howard Jaffe, DPM
• Israt Jahan
• Sunira Jain, RPH
• Unknown Jaiprada, MD
• Respina Jalilian, MD

• Specialist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.