Credentials

Every credential on file and every requirement with nothing on file, in the order work has to happen.

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 statuses Needs action Lapsed Missing Expiring Pending Action due Current Not verified at source

All types State medical license DEA registration State controlled substance registration Board certification Malpractice insurance CAQH attestation Payer enrollment Hospital or surgery center privileges CPR / BLS certification OIG exclusion check

All sites East Region West Region Eastgate Family Care Jefferson Park Main Campus Riverbend Riverside Orthopedics Stonebridge

65 records, showing 51 to 65. Clear all filters

Theo Ramirez
Payer enrollment: Harborline Health
Current
Current. Start the renewal by Dec 1, 2028.No. HARB-ENR-DEMO-4054Ends Apr 2, 2029
Dr. Samuel Ortiz
Payer enrollment: Bluestem Mutual
Current
Current. Start the renewal by Jan 12, 2029.No. BLUE-ENR-DEMO-4078Ends May 14, 2029
Caleb Foster
Payer enrollment: Medicare
Current
Current. Start the renewal by May 18, 2029.No. MCR-ENR-DEMO-4098Ends Sep 17, 2029
Dr. Ethan Cole
Board certification
Current
Current. Start the renewal by Apr 6, 2029.No. RHP-BRD-DEMO-4137Ends Oct 5, 2029
Dr. Owen Hale
Board certification
Current
Current. Start the renewal by Jul 10, 2029.No. RHP-BRD-DEMO-4004Ends Jan 6, 2030
Theo Ramirez
Board certification
Current
Current. Start the renewal by Jul 27, 2029.No. RHP-BRD-DEMO-4049Ends Jan 23, 2030
Dr. Priyanka Rao
Payer enrollment: Medicare
Current
Current. Start the renewal by Apr 30, 2030.No. MCR-ENR-DEMO-4108Ends Aug 28, 2030
Dr. Priyanka Rao
Board certification
Current
Current. Start the renewal by May 7, 2030.No. RHP-BRD-DEMO-4105Ends Nov 3, 2030
Dr. Rosa Delgado
Board certification
Current
Current. Start the renewal by May 24, 2030.No. RHP-BRD-DEMO-4149Ends Nov 20, 2030
Dr. Lena Okafor
Board certification
Current
Current. Start the renewal by Aug 23, 2030.No. RHP-BRD-DEMO-4014Ends Feb 21, 2031
Dr. Aisha Grant
Board certification
Current
Current. Start the renewal by Sep 11, 2030.No. RHP-BRD-DEMO-4059Ends Mar 10, 2031
Grace Liu
Payer enrollment: State Medicaid
Current
Current. Start the renewal by Nov 8, 2030.No. MCD-ENR-DEMO-4132Ends Mar 10, 2031
Grace Liu
Payer enrollment: Medicare
Current
Current. Start the renewal by Nov 22, 2030.No. MCR-ENR-DEMO-4131Ends Mar 24, 2031
Dr. Julian Moore
Payer enrollment: Medicare
Current
Current. Start the renewal by Dec 18, 2030.No. MCR-ENR-DEMO-4117Ends Apr 17, 2031
Dr. Hannah Weiss
Payer enrollment: State Medicaid
Current
Current. Start the renewal by Apr 18, 2031.No. MCD-ENR-DEMO-4087Ends Aug 18, 2031