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
12 records for providers who work at West Region, Eastgate Family Care, Jefferson Park, Main Campus and Riverbend. Clear all filters
- Dr. Owen HaleDEA registration (TN)ExpiringExpires in 12 days. Renewal not started.No. TN-DEA-DEMO-4006Ends Oct 20, 2026
- Grace LiuState controlled substance registration (VA)ExpiringExpires in 25 days. Renewal not started.No. VA-CSR-DEMO-4129Ends Nov 2, 2026
- Caleb FosterBoard certificationExpiringExpires in 45 days. Renewal not started.No. RHP-BRD-DEMO-4095Ends Nov 22, 2026
- Theo RamirezMalpractice insuranceExpiringPolicy ends in 20 days. Renewal sent Sep 23, 2026.No. RHP-MAL-DEMO-4047Ends Oct 28, 2026
- Dr. Hannah WeissPayer enrollment: Larkspur Health PlanPendingApplication sent Aug 29, 2026 (40 days ago) and not approved yet.No. LARK-ENR-DEMO-4088
- Dr. Nora WhitfieldPayer enrollment: Larkspur Health PlanPendingApplication sent Sep 18, 2026 (20 days ago) and not approved yet.No. LARK-ENR-DEMO-4165
- Dr. Nora WhitfieldPayer enrollment: MedicarePendingApplication sent Sep 8, 2026 (30 days ago) and not approved yet.No. MCR-ENR-DEMO-4164
- Grace LiuDEA registration (VA)Action dueRenewal work should have started 6 days ago. Expires Dec 2, 2026.No. VA-DEA-DEMO-4128Ends Dec 2, 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
- 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