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 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
109 records for providers who work at Eastgate Family Care, Main Campus, Riverbend and Riverside Orthopedics, showing 101 to 109. Clear all filters
- 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
- 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