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 7, 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
63 records for providers who work at Eastgate Family Care, Jefferson Park and Riverbend, showing 51 to 63. Clear all filters
- Dr. Hannah WeissPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 1, 2028.No. HARB-ENR-DEMO-4089Ends Jan 1, 2029
- Dr. Rosa DelgadoDEA registration (TN)CurrentCurrent. Start the renewal by Nov 14, 2028.No. TN-DEA-DEMO-4151Ends Jan 13, 2029
- Dr. Ethan ColePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 22, 2028.No. HARB-ENR-DEMO-4144Ends Jan 22, 2029
- Nadia BrooksDEA registration (TN)CurrentCurrent. Start the renewal by Nov 24, 2028.No. TN-DEA-DEMO-4041Ends Jan 24, 2029
- Grace LiuPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Oct 24, 2028.No. BLUE-ENR-DEMO-4133Ends Feb 21, 2029
- Dr. Rosa DelgadoDEA registration (VA)CurrentCurrent. Start the renewal by Jan 2, 2029.No. VA-DEA-DEMO-4152Ends Mar 3, 2029
- Dr. Ethan ColeDEA registration (TN)CurrentCurrent. Start the renewal by May 24, 2029.No. TN-DEA-DEMO-4139Ends Jul 23, 2029
- Dr. Ethan ColeBoard certificationCurrentCurrent. Start the renewal by Apr 6, 2029.No. RHP-BRD-DEMO-4137Ends Oct 5, 2029
- Dr. Rosa DelgadoBoard certificationCurrentCurrent. Start the renewal by May 24, 2030.No. RHP-BRD-DEMO-4149Ends Nov 20, 2030
- Dr. Aisha GrantBoard certificationCurrentCurrent. Start the renewal by Sep 11, 2030.No. RHP-BRD-DEMO-4059Ends Mar 10, 2031
- Grace LiuPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Nov 8, 2030.No. MCD-ENR-DEMO-4132Ends Mar 10, 2031
- Grace LiuPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 22, 2030.No. MCR-ENR-DEMO-4131Ends Mar 24, 2031
- Dr. Hannah WeissPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Apr 18, 2031.No. MCD-ENR-DEMO-4087Ends Aug 18, 2031