WILDWOOD PEDIATRICS - AN AFFILIATE OF CHILDREN'S MERCY HOSPITAL
NPI 1912753575
Pediatrics in Lees Summit, MO

Q: What is Children's Mercy - Wildwood Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 25, 2024CLIA 26D2307377 · Waiver

4025 NE LAKEWOOD WAY STE 100, LEES SUMMIT, MO 64064(816) 287-8282 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Aug 22, 2024, Apr 25, 2024 (3 updates tracked since 2024).

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About Wildwood Pediatrics - An Affiliate Of Children's Mercy Hospital NPPES

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

WILDWOOD PEDIATRICS - AN AFFILIATE OF CHILDREN'S MERCY HOSPITAL (NPI 1912753575) is a healthcare organization registered as a pediatrics in Lees Summit, Missouri and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Robert D Finuf, Snr Vice President, as its authorized official.

NPPES Registry Identity

NPI1912753575

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCHILDREN'S MERCY - WILDWOOD PEDIATRICS

Location Address4025 NE LAKEWOOD WAY STE 100Lees Summit, MO 64064-2058

Mailing Address4025 Ne Lakewood Way Ste 100Lees Summit, MO 64064-2058

Phone(816) 287-8282

Organization SubpartNo

Authorized OfficialRobert D FinufSnr Vice President · (816) 559-9370

Enumeration DateApril 25, 2024

Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1912753575 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.

4025 NE LAKEWOOD WAY STE 100, Lees Summit, MO 64064

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Other Names 1

Doing Business AsWildwood Pediatrics - An Affiliate Of Children's Mercy Hospital

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

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2307377

Wildwood Pediatrics - An Affiliate Of Children's Mercy · Lees Summit, MO

Active · expires Jul 7, 2028

CLIA Number26D2307377

Laboratory TypePhysician Office

Certificate Effective DateJuly 8, 2026

Certificate Expiration DateJuly 7, 2028

Laboratory DirectorJared L. Palfreeman

Laboratory Phone(480) 822-0894

Laboratory LocationWildwood Pediatrics - An Affiliate Of Children's Mercy4025 NE Lakewood Way, Ste 100, Lees Summit, MO 64064

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JARED LEE PALFREEMAN MD

Pediatrics