Peacock Pediatrics, LLC
NPI 1598399784ActiveOrganization· Pediatrics· Saint Joseph, MO
Pediatrics in Saint Joseph, Missouri, registered in NPPES in February 2020. The authorized official on file is Amanda D. Williams, DO, Member.
Overview
| NPI | 1598399784 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2020 |
| Last updated in NPPES | Apr 24, 2020 |
| Certified by provider | Apr 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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