PEACOCK PEDIATRICS, LLC
NPI 1598399784
Pediatrics in Saint Joseph, MO

Active since February 26, 2020
805 N 36TH ST STE B, SAINT JOSEPH, MO 64506(816) 396-6026 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2020, Feb 26, 2020 (2 updates tracked since 2020).

About Peacock Pediatrics, Llc NPPES

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

PEACOCK PEDIATRICS, LLC (NPI 1598399784) is a healthcare organization registered as a pediatrics in Saint Joseph, Missouri and active in the NPI registry since February 2020. The organization lists Amanda D Williams, Member, as its authorized official.

NPPES Registry Identity

NPI1598399784
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEACOCK PEDIATRICS, LLC
Location Address805 N 36TH ST STE BSaint Joseph, MO 64506-2954
Mailing Address805 N 36th St Ste BSaint Joseph, MO 64506-2954 · (816) 396-6026
Organization SubpartNo
Authorized OfficialAmanda D WilliamsMember · (816) 396-6026
Enumeration DateFebruary 26, 2020
Last NPPES UpdateApril 24, 20202 updates tracked since enumeration
NPPES CertifiedApril 24, 2020
NPI 1598399784 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

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

Other Providers at the Same Location


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

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
Pediatrics
805 N 36TH ST STE B
SAINT JOSEPH, MO 64506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598399784, enumerated as an "organization" on February 26, 2020.

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: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.