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
5 records for providers who work at East Region, Eastgate Family Care, Jefferson Park, Main Campus and Stonebridge. Clear all filters
- Dr. Owen HaleDEA registration (TN)ExpiringExpires in 12 days. Renewal not started.No. TN-DEA-DEMO-4006Ends Oct 20, 2026
- Theo RamirezMalpractice insuranceExpiringPolicy ends in 20 days. Renewal sent Sep 23, 2026.No. RHP-MAL-DEMO-4047Ends Oct 28, 2026
- Dr. Lena OkaforPayer enrollment: MedicareAction dueRenewal work should have started 27 days ago. Revalidate by Jan 11, 2027.No. MCR-ENR-DEMO-4018Ends Jan 11, 2027
- Dr. Priyanka RaoCPR / BLS certificationAction dueRenewal under way. Renewal sent Oct 5, 2026. Expires Nov 2, 2026.No. RHP-BLS-DEMO-4104Ends Nov 2, 2026
- Nadia BrooksState medical license (TN)Action dueRenewal under way. Renewal sent Sep 28, 2026. Expires Dec 22, 2026.No. TN-LIC-DEMO-4036Ends Dec 22, 2026