Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
Download CSV
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
116 records for providers who work at Eastgate Family Care, Jefferson Park, Main Campus and Stonebridge, showing 51 to 100. Clear all filters
- 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. Aisha GrantState controlled substance registration (VA)CurrentCurrent. Start the renewal by Jun 7, 2027.No. VA-CSR-DEMO-4063Ends Aug 6, 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. Hannah WeissPrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Nov 19, 2027.No. ASH-PRV-DEMO-4091Ends Mar 20, 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
- 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
- Dr. Samuel OrtizState medical license (TN)CurrentCurrent. Start the renewal by Jun 9, 2028.No. TN-LIC-DEMO-4068Ends Sep 9, 2028
- Dr. Rosa DelgadoCPR / BLS certificationCurrentCurrent. Start the renewal by Aug 11, 2028.No. RHP-BLS-DEMO-4148Ends Sep 11, 2028
- Dr. Rosa DelgadoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by May 19, 2028.No. LARK-ENR-DEMO-4157Ends Sep 16, 2028
- Dr. Lena OkaforCPR / BLS certificationCurrentCurrent. Start the renewal by Aug 24, 2028.No. RHP-BLS-DEMO-4013Ends Sep 23, 2028
- Dr. Hannah WeissDEA registration (TN)CurrentCurrent. Start the renewal by Aug 16, 2028.No. TN-DEA-DEMO-4085Ends Oct 15, 2028
- Dr. Priyanka RaoState medical license (TN)CurrentCurrent. Start the renewal by Jul 21, 2028.No. TN-LIC-DEMO-4102Ends Oct 19, 2028
- Dr. Ethan ColeState medical license (TN)CurrentCurrent. Start the renewal by Jul 31, 2028.No. TN-LIC-DEMO-4134Ends Oct 29, 2028
- Dr. Owen HalePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jul 28, 2028.No. HARB-ENR-DEMO-4010Ends Nov 25, 2028
- Dr. Aisha GrantPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jul 28, 2028.No. LARK-ENR-DEMO-4066Ends Nov 25, 2028
- Nadia BrooksBoard certificationCurrentCurrent. Start the renewal by Jun 12, 2028.No. RHP-BRD-DEMO-4039Ends Dec 9, 2028
- Dr. Hannah WeissBoard certificationCurrentCurrent. Start the renewal by Jun 29, 2028.No. RHP-BRD-DEMO-4083Ends Dec 26, 2028
- Dr. Hannah WeissPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 4, 2028.No. HARB-ENR-DEMO-4089Ends Jan 2, 2029
- Dr. Rosa DelgadoDEA registration (TN)CurrentCurrent. Start the renewal by Nov 15, 2028.No. TN-DEA-DEMO-4151Ends Jan 14, 2029
- Dr. Ethan ColePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 25, 2028.No. HARB-ENR-DEMO-4144Ends Jan 23, 2029