Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
Download CSV
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
133 records for providers who work at West Region, Eastgate Family Care, Main Campus, Riverside Orthopedics and Stonebridge, showing 101 to 133. Clear all filters
- Grace LiuBoard certificationCurrentCurrent. Start the renewal by Feb 23, 2028.No. RHP-BRD-DEMO-4126Ends Aug 21, 2028
- Caleb FosterPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Apr 28, 2028.No. LARK-ENR-DEMO-4099Ends Aug 26, 2028
- Dr. Julian MooreCPR / BLS certificationCurrentCurrent. Start the renewal by Aug 4, 2028.No. RHP-BLS-DEMO-4113Ends Sep 4, 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
- Caleb FosterPrivileges: Cumberland Surgery CenterCurrentCurrent. Start the renewal by May 22, 2028.No. CUMB-PRV-DEMO-4101Ends Sep 19, 2028
- Dr. Lena OkaforCPR / BLS certificationCurrentCurrent. Start the renewal by Aug 24, 2028.No. RHP-BLS-DEMO-4013Ends Sep 23, 2028
- Dr. Julian MooreDEA registration (TN)CurrentCurrent. Start the renewal by Aug 18, 2028.No. TN-DEA-DEMO-4115Ends Oct 17, 2028
- Dr. Priyanka RaoState medical license (TN)CurrentCurrent. Start the renewal by Jul 21, 2028.No. TN-LIC-DEMO-4102Ends Oct 19, 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. Julian MoorePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Aug 18, 2028.No. LARK-ENR-DEMO-4118Ends Dec 16, 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
- Theo RamirezPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 4, 2028.No. HARB-ENR-DEMO-4054Ends Apr 3, 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
- Caleb FosterPayer enrollment: MedicareCurrentCurrent. Start the renewal by May 21, 2029.No. MCR-ENR-DEMO-4098Ends Sep 18, 2029
- Dr. Owen HaleBoard certificationCurrentCurrent. Start the renewal by Jul 11, 2029.No. RHP-BRD-DEMO-4004Ends Jan 7, 2030
- Theo RamirezBoard certificationCurrentCurrent. Start the renewal by Jul 27, 2029.No. RHP-BRD-DEMO-4049Ends Jan 24, 2030
- Dr. Priyanka RaoPayer enrollment: MedicareCurrentCurrent. Start the renewal by May 1, 2030.No. MCR-ENR-DEMO-4108Ends Aug 29, 2030
- Dr. Priyanka RaoBoard certificationCurrentCurrent. Start the renewal by May 8, 2030.No. RHP-BRD-DEMO-4105Ends Nov 4, 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
- Dr. Julian MoorePayer enrollment: MedicareCurrentCurrent. Start the renewal by Dec 19, 2030.No. MCR-ENR-DEMO-4117Ends Apr 18, 2031