Little Bear Radiology, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LITTLE BEAR RADIOLOGY, LLC

Practice address

1104 E Broadway
Suite 205
Columbia, MO 65201-5121

Phone

(417) 448-3713

NPI assigned

Dec 16, 2014

Last updated

Dec 16, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kraig Lage, MD

Title

Owner

Phone

(573) 289-8211

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1205234689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E BROADWAY",
            "address_2": "SUITE 205",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E BROADWAY",
            "address_2": "SUITE 205",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015121",
            "telephone_number": "417-448-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BEAR RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "LAGE",
        "authorized_official_first_name": "KRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-289-8211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clay Lippert, DO
• Sarah T Lira, PHARMD
• Lisa D. Monsees, MD, PC
• Kyle Lisenby, D.M.D.
• Norman Scott Litofsky, MD
• Little Tree Pediatric Urgent Care LLC
• Addie Joan Little, PA-C
• Robert S. Littlejohn, M.D.
• Andrea Anne Littleton, M.ED., LPC
• Rachel Littrell, M.D.

• Diagnostic Radiology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.