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
141 records for providers who work at East Region and West Region, showing 101 to 141. Clear all filters
- Grace LiuBoard certificationCurrentCurrent. Start the renewal by Feb 22, 2028.No. RHP-BRD-DEMO-4126Ends Aug 20, 2028
- Caleb FosterPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Apr 27, 2028.No. LARK-ENR-DEMO-4099Ends Aug 25, 2028
- Dr. Julian MooreCPR / BLS certificationCurrentCurrent. Start the renewal by Aug 4, 2028.No. RHP-BLS-DEMO-4113Ends Sep 3, 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
- Caleb FosterPrivileges: Cumberland Surgery CenterCurrentCurrent. Start the renewal by May 19, 2028.No. CUMB-PRV-DEMO-4101Ends Sep 18, 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. Julian MooreDEA registration (TN)CurrentCurrent. Start the renewal by Aug 17, 2028.No. TN-DEA-DEMO-4115Ends Oct 16, 2028
- Dr. Priyanka RaoState medical license (TN)CurrentCurrent. Start the renewal by Jul 20, 2028.No. TN-LIC-DEMO-4102Ends Oct 18, 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. Julian MoorePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Aug 17, 2028.No. LARK-ENR-DEMO-4118Ends Dec 15, 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
- Grace LiuPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Oct 24, 2028.No. BLUE-ENR-DEMO-4133Ends Feb 21, 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
- Theo RamirezPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 1, 2028.No. HARB-ENR-DEMO-4054Ends Apr 2, 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
- Caleb FosterPayer enrollment: MedicareCurrentCurrent. Start the renewal by May 18, 2029.No. MCR-ENR-DEMO-4098Ends Sep 17, 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
- Theo RamirezBoard certificationCurrentCurrent. Start the renewal by Jul 27, 2029.No. RHP-BRD-DEMO-4049Ends Jan 23, 2030
- Dr. Priyanka RaoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Apr 30, 2030.No. MCR-ENR-DEMO-4108Ends Aug 28, 2030
- Dr. Priyanka RaoBoard certificationCurrentCurrent. Start the renewal by May 7, 2030.No. RHP-BRD-DEMO-4105Ends Nov 3, 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
- 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. Julian MoorePayer enrollment: MedicareCurrentCurrent. Start the renewal by Dec 18, 2030.No. MCR-ENR-DEMO-4117Ends Apr 17, 2031
- Dr. Hannah WeissPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Apr 18, 2031.No. MCD-ENR-DEMO-4087Ends Aug 18, 2031