Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
Download CSV
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
112 records for providers who work at Eastgate Family Care, Jefferson Park, Main Campus and Riverside Orthopedics, showing 101 to 112. Clear all filters
- 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
- 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
- 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. 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