Look up the most recent NPI and PECOS records

Kraig Jason Lage

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as KRAIG LAGE.

Based on the most recent information from CMS, provider Kraig Jason Lage is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1972793842
Provider Type
Individual
Full Name
Lage, Kraig Jason
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/27/2007
Last Updated
9/15/2022

Contact Information

Practice Location

1 Hospital Dr, Columbia, MO 65212-0001

(573) 882-1026

(573) 884-3052

Mailing Location

PO Box 843966, Kansas City, MO 64184-3966

(573) 884-3300

(573) 884-0943

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 2010025679 Missouri

Kraig Jason Lage

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wissman, Robert David

Lafoe, Katherine Rebecca Edwards

Tahon, Nourel Hoda

Singh, Amolak

Garg, Megha

Ashraf, Samir S

Maqbool, Maaz Sohail

Sethi, Yash Pal

Mullens, Frank Edward

Yagnik, Vivek