Active NPI
Children'S Mercy - Peacock Pediatrics, Inc
- Pediatrics Physician
- Saint Joseph, MO
National Provider Identifier
1356090880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC
- Practice address
- 805 N 36TH St Ste B
Saint Joseph, MO 64506-2954 - Phone
- (816) 396-6026
- NPI assigned
- Mar 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert D Finuf II
- Title
- Senior Vice President
- Phone
- (816) 701-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
805 N 36TH St Ste B
Saint Joseph, MO 64506-2954
Mailing address
2401 Gillham Rd
Attn: Provider Enrollment
Kansas City, MO 64108-4619
Phone (816) 701-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 830085654 | Medicaid | MO |
Other names 1
- Peacock Pediatrics - An affiliate of Children's Mercy
National Provider Directory
National Provider DirectoryLocations
1300 Plaza Ct
Platte City, MO 64079
Phone (816) 396-6026
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Saint Joseph, MO
- NPI 1982764718
-
- Family Nurse Practitioner
- Platte City, MO
- NPI 1558696500
-
- Pediatric Nurse Practitioner
- Saint Joseph, MO
- NPI 1346702362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745366400000",
"number": "1356090880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"address_2": "ATTN: PROVIDER ENROLLMENT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-701-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 N 36TH ST STE B",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062954",
"telephone_number": "816-396-6026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-22",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A",
"authorized_official_last_name": "FINUF",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "816-701-5200",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "830085654",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Peacock Pediatrics - An affiliate of Children's Mercy",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.