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
83 records for providers who work at Eastgate Family Care, Main Campus and Riverbend, showing 51 to 83. Clear all filters
- 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
- 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
- Grace LiuBoard certificationCurrentCurrent. Start the renewal by Feb 23, 2028.No. RHP-BRD-DEMO-4126Ends Aug 21, 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. 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. Rosa DelgadoDEA registration (TN)CurrentCurrent. Start the renewal by Nov 15, 2028.No. TN-DEA-DEMO-4151Ends Jan 14, 2029
- Nadia BrooksDEA registration (TN)CurrentCurrent. Start the renewal by Nov 24, 2028.No. TN-DEA-DEMO-4041Ends Jan 25, 2029
- Grace LiuPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Oct 25, 2028.No. BLUE-ENR-DEMO-4133Ends Feb 22, 2029
- Dr. Samuel OrtizPayer enrollment: MedicareCurrentCurrent. Start the renewal by Oct 25, 2028.No. MCR-ENR-DEMO-4075Ends Feb 22, 2029
- Dr. Rosa DelgadoDEA registration (VA)CurrentCurrent. Start the renewal by Jan 3, 2029.No. VA-DEA-DEMO-4152Ends Mar 4, 2029
- Dr. Samuel OrtizDEA registration (TN)CurrentCurrent. Start the renewal by Feb 23, 2029.No. TN-DEA-DEMO-4073Ends Apr 24, 2029
- Dr. Samuel OrtizPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 15, 2029.No. BLUE-ENR-DEMO-4078Ends May 15, 2029
- Dr. Owen HaleBoard certificationCurrentCurrent. Start the renewal by Jul 11, 2029.No. RHP-BRD-DEMO-4004Ends Jan 7, 2030
- Dr. Rosa DelgadoBoard certificationCurrentCurrent. Start the renewal by May 24, 2030.No. RHP-BRD-DEMO-4149Ends Nov 21, 2030
- Dr. Lena OkaforBoard certificationCurrentCurrent. Start the renewal by Aug 26, 2030.No. RHP-BRD-DEMO-4014Ends Feb 22, 2031
- Dr. Aisha GrantBoard certificationCurrentCurrent. Start the renewal by Sep 12, 2030.No. RHP-BRD-DEMO-4059Ends Mar 11, 2031
- Grace LiuPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Nov 11, 2030.No. MCD-ENR-DEMO-4132Ends Mar 11, 2031
- Grace LiuPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 25, 2030.No. MCR-ENR-DEMO-4131Ends Mar 25, 2031