DR. JULIE ANN NEIDICH MD NPI 1962690180

NPI Information

  • NPI: 1962690180
  • Provider Name: DR. JULIE ANN NEIDICH, MD
  • Classification: Pathology - 207ZP0007X
  • Specialization: Molecular Genetic Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4320 FOREST PARK AVE
    DIV PA, GENOMIC AND MOLECULAR PATHOLOGY, STE 209
    SAINT LOUIS, MO
    ZIP 63108
  • Phone: (314) 362-5641

Map and Directions

Get Directions

NPI Details

DR. Julie Ann Neidich, MD is a molecular genetic pathology pathology in Saint Louis, MO. The provider is a molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. DR. Julie Ann Neidich, MD NPI is 1962690180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4320 FOREST PARK AVE
DIV PA, GENOMIC AND MOLECULAR PATHOLOGY, STE 209
SAINT LOUIS, MO
ZIP 63108-979
Phone: (314) 362-5641
Fax: (314) 362-0369

The NPI 1962690180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Interpretation and report of genetic testing (HCPCS:88291)
  • Interpretation and report of genetic testing (HCPCS:88291)

The enumeration date for this NPI number is 10/12/2007 and was last updated on 4/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0007XPathologyMolecular Genetic Pathology2017022702MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200090687MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI