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
130 records for providers who work at Jefferson Park, Main Campus, Riverbend and Riverside Orthopedics, showing 101 to 130. Clear all filters
- 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. Hannah WeissDEA registration (TN)CurrentCurrent. Start the renewal by Aug 16, 2028.No. TN-DEA-DEMO-4085Ends Oct 15, 2028
- Dr. Julian MooreDEA registration (TN)CurrentCurrent. Start the renewal by Aug 18, 2028.No. TN-DEA-DEMO-4115Ends Oct 17, 2028
- Dr. Ethan ColeState medical license (TN)CurrentCurrent. Start the renewal by Jul 31, 2028.No. TN-LIC-DEMO-4134Ends Oct 29, 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. Hannah WeissBoard certificationCurrentCurrent. Start the renewal by Jun 29, 2028.No. RHP-BRD-DEMO-4083Ends Dec 26, 2028
- Dr. Hannah WeissPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 4, 2028.No. HARB-ENR-DEMO-4089Ends Jan 2, 2029
- Dr. Rosa DelgadoDEA registration (TN)CurrentCurrent. Start the renewal by Nov 15, 2028.No. TN-DEA-DEMO-4151Ends Jan 14, 2029
- Dr. Ethan ColePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 25, 2028.No. HARB-ENR-DEMO-4144Ends Jan 23, 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
- 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
- Dr. Ethan ColeDEA registration (TN)CurrentCurrent. Start the renewal by May 25, 2029.No. TN-DEA-DEMO-4139Ends Jul 24, 2029
- Caleb FosterPayer enrollment: MedicareCurrentCurrent. Start the renewal by May 21, 2029.No. MCR-ENR-DEMO-4098Ends Sep 18, 2029
- Dr. Ethan ColeBoard certificationCurrentCurrent. Start the renewal by Apr 9, 2029.No. RHP-BRD-DEMO-4137Ends Oct 6, 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
- Dr. Hannah WeissPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Apr 21, 2031.No. MCD-ENR-DEMO-4087Ends Aug 19, 2031