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
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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
131 records for providers who work at East Region, Eastgate Family Care, Jefferson Park, Riverside Orthopedics and Stonebridge, showing 1 to 50. Clear all filters
- 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
- Dr. Julian MoorePrivileges: Cumberland Surgery CenterAction dueRenewal under way. Renewal sent Oct 3, 2026. Reappointment due Jan 16, 2027.No. CUMB-PRV-DEMO-4121Ends Jan 16, 2027
- Dr. Owen HaleOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4005Ends Oct 27, 2026
- Dr. Lena OkaforOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4015Ends Oct 27, 2026
- Nadia BrooksOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4040Ends Oct 27, 2026
- Theo RamirezOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4050Ends Oct 27, 2026
- Dr. Aisha GrantOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4060Ends Oct 27, 2026
- Dr. Samuel OrtizOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4072Ends Oct 27, 2026
- Dr. Hannah WeissOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4084Ends Oct 27, 2026
- Caleb FosterOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4096Ends Oct 27, 2026
- Dr. Julian MooreOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4114Ends Oct 27, 2026
- Dr. Ethan ColeOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4138Ends Oct 27, 2026
- Dr. Rosa DelgadoOIG exclusion checkCurrentCurrent. Start the renewal by Oct 20, 2026.No. RHP-OIG-DEMO-4150Ends Oct 27, 2026
- Caleb FosterCAQH attestationCurrentCurrent. Start the renewal by Oct 22, 2026.No. RHP-CAQH-DEMO-4097Ends Nov 21, 2026
- Dr. Priyanka RaoCAQH attestationCurrentCurrent. Start the renewal by Oct 23, 2026.No. RHP-CAQH-DEMO-4107Ends Nov 23, 2026
- Dr. Rosa DelgadoCAQH attestationCurrentCurrent. Start the renewal by Oct 27, 2026.No. RHP-CAQH-DEMO-4154Ends Nov 26, 2026
- Dr. Samuel OrtizCAQH attestationCurrentCurrent. Start the renewal by Nov 4, 2026.No. RHP-CAQH-DEMO-4074Ends Dec 4, 2026
- Dr. Nora WhitfieldCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 4, 2026.No. RHP-BLS-DEMO-4160Ends Dec 4, 2026
- Dr. Ethan ColeCAQH attestationCurrentCurrent. Start the renewal by Nov 11, 2026.No. RHP-CAQH-DEMO-4140Ends Dec 11, 2026
- Dr. Hannah WeissCAQH attestationCurrentCurrent. Start the renewal by Nov 17, 2026.No. RHP-CAQH-DEMO-4086Ends Dec 17, 2026
- Dr. Aisha GrantCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 23, 2026.No. RHP-BLS-DEMO-4058Ends Dec 23, 2026
- Dr. Julian MooreCAQH attestationCurrentCurrent. Start the renewal by Nov 24, 2026.No. RHP-CAQH-DEMO-4116Ends Dec 24, 2026
- Dr. Nora WhitfieldCAQH attestationCurrentCurrent. Start the renewal by Nov 27, 2026.No. RHP-CAQH-DEMO-4163Ends Dec 27, 2026
- Dr. Owen HaleCAQH attestationCurrentCurrent. Start the renewal by Dec 2, 2026.No. RHP-CAQH-DEMO-4007Ends Jan 1, 2027
- Dr. Lena OkaforCAQH attestationCurrentCurrent. Start the renewal by Dec 15, 2026.No. RHP-CAQH-DEMO-4017Ends Jan 14, 2027
- Dr. Priyanka RaoMalpractice insuranceCurrentCurrent. Start the renewal by Nov 30, 2026.No. RHP-MAL-DEMO-4103Ends Jan 14, 2027
- Dr. Aisha GrantCAQH attestationCurrentCurrent. Start the renewal by Dec 16, 2026.No. RHP-CAQH-DEMO-4064Ends Jan 15, 2027
- Caleb FosterState medical license (TN)CurrentCurrent. Start the renewal by Oct 30, 2026.No. TN-LIC-DEMO-4092Ends Jan 30, 2027
- Theo RamirezCAQH attestationCurrentCurrent. Start the renewal by Jan 1, 2027.No. RHP-CAQH-DEMO-4052Ends Feb 1, 2027
- Dr. Hannah WeissMalpractice insuranceCurrentCurrent. Start the renewal by Dec 29, 2026.No. RHP-MAL-DEMO-4081Ends Feb 12, 2027
- Dr. Samuel OrtizPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Nov 2, 2026.No. LARK-ENR-DEMO-4076Ends Mar 2, 2027
- Dr. Aisha GrantMalpractice insuranceCurrentCurrent. Start the renewal by Jan 19, 2027.No. RHP-MAL-DEMO-4057Ends Mar 5, 2027
- Dr. Rosa DelgadoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 6, 2026.No. MCR-ENR-DEMO-4155Ends Mar 7, 2027
- Dr. Ethan ColePayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Nov 17, 2026.No. MCD-ENR-DEMO-4142Ends Mar 17, 2027
- Dr. Nora WhitfieldState medical license (TN)CurrentCurrent. Start the renewal by Dec 24, 2026.No. TN-LIC-DEMO-4158Ends Mar 24, 2027
- Dr. Ethan ColePayer enrollment: MedicareCurrentCurrent. Start the renewal by Dec 1, 2026.No. MCR-ENR-DEMO-4141Ends Mar 31, 2027
- Caleb FosterPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 10, 2026.No. HARB-ENR-DEMO-4100Ends Apr 9, 2027
- Dr. Rosa DelgadoMalpractice insuranceCurrentCurrent. Start the renewal by Mar 2, 2027.No. RHP-MAL-DEMO-4147Ends Apr 16, 2027
- Dr. Owen HaleCPR / BLS certificationCurrentCurrent. Start the renewal by Mar 19, 2027.No. RHP-BLS-DEMO-4003Ends Apr 19, 2027
- Dr. Lena OkaforPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jan 1, 2027.No. MCD-ENR-DEMO-4019Ends May 2, 2027
- Theo RamirezState medical license (TN)CurrentCurrent. Start the renewal by Feb 5, 2027.No. TN-LIC-DEMO-4046Ends May 6, 2027
- Dr. Hannah WeissPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 8, 2027.No. BLUE-ENR-DEMO-4090Ends May 9, 2027
- Dr. Hannah WeissState medical license (TN)CurrentCurrent. Start the renewal by Feb 11, 2027.No. TN-LIC-DEMO-4080Ends May 12, 2027
- Dr. Lena OkaforMalpractice insuranceCurrentCurrent. Start the renewal by Apr 6, 2027.No. RHP-MAL-DEMO-4012Ends May 21, 2027
- Dr. Lena OkaforPrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Jan 29, 2027.No. ASH-PRV-DEMO-4022Ends May 29, 2027
- Nadia BrooksPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Feb 1, 2027.No. LARK-ENR-DEMO-4045Ends Jun 1, 2027
- Dr. Owen HalePayer enrollment: MedicareCurrentCurrent. Start the renewal by Feb 9, 2027.No. MCR-ENR-DEMO-4008Ends Jun 9, 2027
- Dr. Samuel OrtizPrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Feb 18, 2027.No. ASH-PRV-DEMO-4079Ends Jun 18, 2027