CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC
NPI 1356090880
Pediatrics in Saint Joseph, MO

Active since March 22, 2022CLIA Certified · 2 labs
805 N 36TH ST STE B, SAINT JOSEPH, MO 64506(816) 396-6026 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Children's Mercy - Peacock Pediatrics, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC (NPI 1356090880) is a healthcare organization registered as a pediatrics in Saint Joseph, Missouri and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through May 10, 2028 and lists Robert D Finuf, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1356090880
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDREN'S MERCY - PEACOCK PEDIATRICS, INC
Location Address805 N 36TH ST STE BSaint Joseph, MO 64506-2954
Mailing Address2401 Gillham Rd, Attn: Provider EnrollmentKansas City, MO 64108-4619 · (816) 701-5200
Organization SubpartNo
Authorized OfficialRobert D FinufSenior Vice President · (816) 701-5200
Enumeration DateMarch 22, 2022
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1356090880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

805 N 36TH ST STE B, Saint Joseph, MO 64506

Other Names 1

Other NamePeacock Pediatrics - An Affiliate Of Children's Mercy

Other Identifiers 1

Medicaid830085654MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2183836
Facility Type
Physician Office
Certificate Effective Date
May 11, 2026
Certificate Expiration Date
May 10, 2028
Laboratory Director
AMANDA D. WILLIAMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Children's Mercy - Peacock Pediatrics, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pediatrics
805 N 36TH ST STE B
SAINT JOSEPH, MO 64506
Nurse Practitioner (Pediatrics)
805 N 36TH ST STE B
SAINT JOSEPH, MO 64506
Pediatrics
805 N 36TH ST STE B
SAINT JOSEPH, MO 64506
Pediatrics
805 N 36TH ST STE B
SAINT JOSEPH, MO 64506
Nurse Practitioner (Pediatrics)
805 N 36TH ST STE B
SAINT JOSEPH, MO 64506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356090880, enumerated as an "organization" on March 22, 2022.

The provider is located at 805 N 36TH ST STE B SAINT JOSEPH, MO 64506 and the phone number is (816) 396-6026.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica,. Please consult your insurance carrier or call the provider to verify.