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
97 records for providers who work at Jefferson Park and Main Campus, showing 51 to 97. Clear all filters
- Dr. Ethan ColePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jun 30, 2027.No. LARK-ENR-DEMO-4143Ends Oct 28, 2027
- Dr. Lena OkaforPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jul 9, 2027.No. BLUE-ENR-DEMO-4021Ends Nov 6, 2027
- Nadia BrooksCPR / BLS certificationCurrentCurrent. Start the renewal by Oct 8, 2027.No. RHP-BLS-DEMO-4038Ends Nov 7, 2027
- Dr. Samuel OrtizBoard certificationCurrentCurrent. Start the renewal by May 14, 2027.No. RHP-BRD-DEMO-4071Ends Nov 10, 2027
- Dr. Nora WhitfieldMalpractice insuranceCurrentCurrent. Start the renewal by Oct 7, 2027.No. RHP-MAL-DEMO-4159Ends Nov 21, 2027
- Nadia BrooksPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jul 28, 2027.No. MCD-ENR-DEMO-4044Ends Nov 25, 2027
- Dr. Aisha GrantState medical license (TN)CurrentCurrent. Start the renewal by Sep 2, 2027.No. TN-LIC-DEMO-4055Ends Dec 1, 2027
- Nadia BrooksPayer enrollment: MedicareCurrentCurrent. Start the renewal by Aug 11, 2027.No. MCR-ENR-DEMO-4043Ends Dec 9, 2027
- Dr. Hannah WeissCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 19, 2027.No. RHP-BLS-DEMO-4082Ends Dec 20, 2027
- Dr. Aisha GrantDEA registration (TN)CurrentCurrent. Start the renewal by Nov 9, 2027.No. TN-DEA-DEMO-4061Ends Jan 8, 2028
- Dr. Rosa DelgadoState controlled substance registration (VA)CurrentCurrent. Start the renewal by Dec 22, 2027.No. VA-CSR-DEMO-4153Ends Feb 20, 2028
- Dr. Aisha GrantDEA registration (VA)CurrentCurrent. Start the renewal by Dec 28, 2027.No. VA-DEA-DEMO-4062Ends Feb 26, 2028
- Dr. Lena OkaforState medical license (TN)CurrentCurrent. Start the renewal by Dec 7, 2027.No. TN-LIC-DEMO-4011Ends Mar 6, 2028
- Dr. Hannah WeissPrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Nov 19, 2027.No. ASH-PRV-DEMO-4091Ends Mar 19, 2028
- Dr. Lena OkaforPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Dec 8, 2027.No. LARK-ENR-DEMO-4020Ends Apr 6, 2028
- Dr. Lena OkaforDEA registration (TN)CurrentCurrent. Start the renewal by Feb 18, 2028.No. TN-DEA-DEMO-4016Ends Apr 19, 2028
- Dr. Rosa DelgadoState medical license (TN)CurrentCurrent. Start the renewal by Feb 9, 2028.No. TN-LIC-DEMO-4145Ends May 9, 2028
- Dr. Samuel OrtizPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jan 27, 2028.No. HARB-ENR-DEMO-4077Ends May 26, 2028
- Dr. Samuel OrtizCPR / BLS certificationCurrentCurrent. Start the renewal by Apr 28, 2028.No. RHP-BLS-DEMO-4070Ends May 28, 2028
- Dr. Aisha GrantPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Feb 21, 2028.No. MCD-ENR-DEMO-4065Ends Jun 20, 2028
- Dr. Aisha GrantPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Feb 25, 2028.No. BLUE-ENR-DEMO-4067Ends Jun 25, 2028
- Dr. Rosa DelgadoState medical license (VA)CurrentCurrent. Start the renewal by Mar 29, 2028.No. VA-LIC-DEMO-4146Ends Jun 27, 2028
- Dr. Samuel OrtizState medical license (TN)CurrentCurrent. Start the renewal by Jun 9, 2028.No. TN-LIC-DEMO-4068Ends Sep 8, 2028
- Dr. Rosa DelgadoCPR / BLS certificationCurrentCurrent. Start the renewal by Aug 11, 2028.No. RHP-BLS-DEMO-4148Ends Sep 10, 2028
- Dr. Rosa DelgadoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by May 18, 2028.No. LARK-ENR-DEMO-4157Ends Sep 15, 2028
- Dr. Lena OkaforCPR / BLS certificationCurrentCurrent. Start the renewal by Aug 23, 2028.No. RHP-BLS-DEMO-4013Ends Sep 22, 2028
- Dr. Hannah WeissDEA registration (TN)CurrentCurrent. Start the renewal by Aug 15, 2028.No. TN-DEA-DEMO-4085Ends Oct 14, 2028
- Dr. Ethan ColeState medical license (TN)CurrentCurrent. Start the renewal by Jul 28, 2028.No. TN-LIC-DEMO-4134Ends Oct 28, 2028
- Dr. Owen HalePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jul 27, 2028.No. HARB-ENR-DEMO-4010Ends Nov 24, 2028
- Dr. Aisha GrantPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jul 27, 2028.No. LARK-ENR-DEMO-4066Ends Nov 24, 2028
- Nadia BrooksBoard certificationCurrentCurrent. Start the renewal by Jun 9, 2028.No. RHP-BRD-DEMO-4039Ends Dec 8, 2028
- Dr. Hannah WeissBoard certificationCurrentCurrent. Start the renewal by Jun 28, 2028.No. RHP-BRD-DEMO-4083Ends Dec 25, 2028
- 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
- Dr. Samuel OrtizPayer enrollment: MedicareCurrentCurrent. Start the renewal by Oct 24, 2028.No. MCR-ENR-DEMO-4075Ends 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. Samuel OrtizDEA registration (TN)CurrentCurrent. Start the renewal by Feb 22, 2029.No. TN-DEA-DEMO-4073Ends Apr 23, 2029
- Dr. Samuel OrtizPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 12, 2029.No. BLUE-ENR-DEMO-4078Ends May 14, 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. Owen HaleBoard certificationCurrentCurrent. Start the renewal by Jul 10, 2029.No. RHP-BRD-DEMO-4004Ends Jan 6, 2030
- Dr. Rosa DelgadoBoard certificationCurrentCurrent. Start the renewal by May 24, 2030.No. RHP-BRD-DEMO-4149Ends Nov 20, 2030
- Dr. Lena OkaforBoard certificationCurrentCurrent. Start the renewal by Aug 23, 2030.No. RHP-BRD-DEMO-4014Ends Feb 21, 2031
- Dr. Aisha GrantBoard certificationCurrentCurrent. Start the renewal by Sep 11, 2030.No. RHP-BRD-DEMO-4059Ends Mar 10, 2031
- Dr. Hannah WeissPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Apr 18, 2031.No. MCD-ENR-DEMO-4087Ends Aug 18, 2031