Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
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As of
Oct 8, 2026
Pick as many as you like in each row. A record shows if it matches any pick in a row, and every row.
All typesState medical licenseDEA registrationState controlled substance registrationBoard certificationMalpractice insuranceCAQH attestationPayer enrollmentHospital or surgery center privilegesCPR / BLS certificationOIG exclusion check
All sitesEast RegionWest RegionEastgate Family CareJefferson ParkMain CampusRiverbendRiverside OrthopedicsStonebridge
139 records for providers who work at Eastgate Family Care, Jefferson Park, Main Campus, Riverbend, Riverside Orthopedics and Stonebridge, showing 51 to 100. Clear all filters
- Dr. Owen HalePayer enrollment: MedicareCurrentCurrent. Start the renewal by Feb 9, 2027.No. MCR-ENR-DEMO-4008Ends Jun 9, 2027
- Dr. Samuel OrtizPrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Feb 18, 2027.No. ASH-PRV-DEMO-4079Ends Jun 18, 2027
- Dr. Julian MooreState medical license (TN)CurrentCurrent. Start the renewal by Mar 30, 2027.No. TN-LIC-DEMO-4111Ends Jun 28, 2027
- Caleb FosterCPR / BLS certificationCurrentCurrent. Start the renewal by Jun 14, 2027.No. RHP-BLS-DEMO-4094Ends Jul 14, 2027
- Dr. Nora WhitfieldDEA registration (TN)CurrentCurrent. Start the renewal by May 19, 2027.No. TN-DEA-DEMO-4162Ends Jul 18, 2027
- Dr. Ethan ColeMalpractice insuranceCurrentCurrent. Start the renewal by Jun 4, 2027.No. RHP-MAL-DEMO-4135Ends Jul 20, 2027
- Dr. Nora WhitfieldBoard certificationCurrentCurrent. Start the renewal by Jan 25, 2027.No. RHP-BRD-DEMO-4161Ends Jul 24, 2027
- Dr. Julian MoorePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Apr 1, 2027.No. HARB-ENR-DEMO-4119Ends Jul 30, 2027
- Dr. Aisha GrantState controlled substance registration (VA)CurrentCurrent. Start the renewal by Jun 7, 2027.No. VA-CSR-DEMO-4063Ends Aug 6, 2027
- Caleb FosterMalpractice insuranceCurrentCurrent. Start the renewal by Jun 25, 2027.No. RHP-MAL-DEMO-4093Ends Aug 10, 2027
- Dr. Julian MooreMalpractice insuranceCurrentCurrent. Start the renewal by Jun 25, 2027.No. RHP-MAL-DEMO-4112Ends Aug 10, 2027
- Dr. Owen HaleState medical license (TN)CurrentCurrent. Start the renewal by May 12, 2027.No. TN-LIC-DEMO-4001Ends Aug 10, 2027
- Dr. Owen HaleMalpractice insuranceCurrentCurrent. Start the renewal by Jul 9, 2027.No. RHP-MAL-DEMO-4002Ends Aug 24, 2027
- Dr. Priyanka RaoPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Apr 30, 2027.No. BLUE-ENR-DEMO-4110Ends Aug 29, 2027
- Dr. Owen HalePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by May 3, 2027.No. LARK-ENR-DEMO-4009Ends Aug 31, 2027
- Nadia BrooksMalpractice insuranceCurrentCurrent. Start the renewal by Jul 28, 2027.No. RHP-MAL-DEMO-4037Ends Sep 11, 2027
- Dr. Samuel OrtizMalpractice insuranceCurrentCurrent. Start the renewal by Aug 13, 2027.No. RHP-MAL-DEMO-4069Ends Sep 29, 2027
- Dr. Ethan ColeCPR / BLS certificationCurrentCurrent. Start the renewal by Sep 20, 2027.No. RHP-BLS-DEMO-4136Ends Oct 20, 2027
- Dr. Ethan ColePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jul 1, 2027.No. LARK-ENR-DEMO-4143Ends Oct 29, 2027
- Dr. Lena OkaforPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jul 9, 2027.No. BLUE-ENR-DEMO-4021Ends Nov 7, 2027
- Nadia BrooksCPR / BLS certificationCurrentCurrent. Start the renewal by Oct 8, 2027.No. RHP-BLS-DEMO-4038Ends Nov 8, 2027
- Dr. Samuel OrtizBoard certificationCurrentCurrent. Start the renewal by May 14, 2027.No. RHP-BRD-DEMO-4071Ends Nov 11, 2027
- Dr. Nora WhitfieldMalpractice insuranceCurrentCurrent. Start the renewal by Oct 8, 2027.No. RHP-MAL-DEMO-4159Ends Nov 22, 2027
- Nadia BrooksPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jul 29, 2027.No. MCD-ENR-DEMO-4044Ends Nov 26, 2027
- Dr. Aisha GrantState medical license (TN)CurrentCurrent. Start the renewal by Sep 3, 2027.No. TN-LIC-DEMO-4055Ends Dec 2, 2027
- Nadia BrooksPayer enrollment: MedicareCurrentCurrent. Start the renewal by Aug 12, 2027.No. MCR-ENR-DEMO-4043Ends Dec 10, 2027
- Dr. Hannah WeissCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 19, 2027.No. RHP-BLS-DEMO-4082Ends Dec 21, 2027
- Theo RamirezPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 9, 2027.No. LARK-ENR-DEMO-4053Ends Jan 7, 2028
- Dr. Aisha GrantDEA registration (TN)CurrentCurrent. Start the renewal by Nov 10, 2027.No. TN-DEA-DEMO-4061Ends Jan 9, 2028
- Dr. Priyanka RaoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 30, 2027.No. LARK-ENR-DEMO-4109Ends Jan 28, 2028
- Dr. Rosa DelgadoState controlled substance registration (VA)CurrentCurrent. Start the renewal by Dec 23, 2027.No. VA-CSR-DEMO-4153Ends Feb 21, 2028
- Dr. Aisha GrantDEA registration (VA)CurrentCurrent. Start the renewal by Dec 29, 2027.No. VA-DEA-DEMO-4062Ends Feb 27, 2028
- Dr. Lena OkaforState medical license (TN)CurrentCurrent. Start the renewal by Dec 8, 2027.No. TN-LIC-DEMO-4011Ends Mar 7, 2028
- Dr. Julian MoorePrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Nov 19, 2027.No. ASH-PRV-DEMO-4122Ends Mar 18, 2028
- Dr. Hannah WeissPrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Nov 19, 2027.No. ASH-PRV-DEMO-4091Ends Mar 20, 2028
- Grace LiuCPR / BLS certificationCurrentCurrent. Start the renewal by Feb 25, 2028.No. RHP-BLS-DEMO-4125Ends Mar 28, 2028
- Dr. Lena OkaforPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Dec 9, 2027.No. LARK-ENR-DEMO-4020Ends Apr 7, 2028
- Dr. Lena OkaforDEA registration (TN)CurrentCurrent. Start the renewal by Feb 18, 2028.No. TN-DEA-DEMO-4016Ends Apr 20, 2028
- Dr. Rosa DelgadoState medical license (TN)CurrentCurrent. Start the renewal by Feb 10, 2028.No. TN-LIC-DEMO-4145Ends May 10, 2028
- Dr. Samuel OrtizPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jan 28, 2028.No. HARB-ENR-DEMO-4077Ends May 27, 2028
- Dr. Samuel OrtizCPR / BLS certificationCurrentCurrent. Start the renewal by Apr 28, 2028.No. RHP-BLS-DEMO-4070Ends May 29, 2028
- Dr. Aisha GrantPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Feb 22, 2028.No. MCD-ENR-DEMO-4065Ends Jun 21, 2028
- Dr. Aisha GrantPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Feb 25, 2028.No. BLUE-ENR-DEMO-4067Ends Jun 26, 2028
- Dr. Rosa DelgadoState medical license (VA)CurrentCurrent. Start the renewal by Mar 30, 2028.No. VA-LIC-DEMO-4146Ends Jun 28, 2028
- Grace LiuState medical license (VA)CurrentCurrent. Start the renewal by Apr 17, 2028.No. VA-LIC-DEMO-4123Ends Jul 16, 2028
- Dr. Julian MoorePayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Mar 17, 2028.No. BLUE-ENR-DEMO-4120Ends Jul 17, 2028
- Theo RamirezDEA registration (TN)CurrentCurrent. Start the renewal by May 19, 2028.No. TN-DEA-DEMO-4051Ends Jul 18, 2028
- Theo RamirezCPR / BLS certificationCurrentCurrent. Start the renewal by Jul 21, 2028.No. RHP-BLS-DEMO-4048Ends Aug 20, 2028
- Grace LiuBoard certificationCurrentCurrent. Start the renewal by Feb 23, 2028.No. RHP-BRD-DEMO-4126Ends Aug 21, 2028
- Caleb FosterPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Apr 28, 2028.No. LARK-ENR-DEMO-4099Ends Aug 26, 2028