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
162 records, showing 151 to 162. Clear all filters
- 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
- 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
- Dr. Hannah WeissPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Apr 21, 2031.No. MCD-ENR-DEMO-4087Ends Aug 19, 2031