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 7, 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
103 records for providers who work at West Region and Jefferson Park, showing 1 to 50. Clear all filters
- Dr. Rosa DelgadoPayer enrollment: State MedicaidLapsedLapsed 20 days ago. No renewal has been recorded.No. MCD-ENR-DEMO-4156Ends Sep 17, 2026
- Nadia BrooksCAQH attestationLapsedLapsed 10 days ago. No renewal has been recorded.No. RHP-CAQH-DEMO-4042Ends Sep 27, 2026
- Dr. Priyanka RaoOIG exclusion checkLapsedLapsed 9 days ago. No renewal has been recorded.No. RHP-OIG-DEMO-4106Ends Sep 28, 2026
- Dr. Aisha GrantState medical license (VA)LapsedLapsed 3 days ago. No renewal has been recorded.No. VA-LIC-DEMO-4056Ends Oct 4, 2026
- Dr. Julian MooreBoard certificationMissingNothing on file. Required by payer contracts and facility bylaws.
- Nadia BrooksOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4040Ends Oct 26, 2026
- Theo RamirezOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4050Ends Oct 26, 2026
- Dr. Aisha GrantOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4060Ends Oct 26, 2026
- Dr. Hannah WeissOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4084Ends Oct 26, 2026
- Caleb FosterOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4096Ends Oct 26, 2026
- Dr. Julian MooreOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4114Ends Oct 26, 2026
- Grace LiuOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4127Ends Oct 26, 2026
- Dr. Ethan ColeOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4138Ends Oct 26, 2026
- Dr. Rosa DelgadoOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4150Ends Oct 26, 2026
- Caleb FosterCAQH attestationCurrentCurrent. Start the renewal by Oct 21, 2026.No. RHP-CAQH-DEMO-4097Ends Nov 20, 2026
- Dr. Priyanka RaoCAQH attestationCurrentCurrent. Start the renewal by Oct 23, 2026.No. RHP-CAQH-DEMO-4107Ends Nov 22, 2026
- Dr. Rosa DelgadoCAQH attestationCurrentCurrent. Start the renewal by Oct 26, 2026.No. RHP-CAQH-DEMO-4154Ends Nov 25, 2026
- Dr. Ethan ColeCAQH attestationCurrentCurrent. Start the renewal by Nov 10, 2026.No. RHP-CAQH-DEMO-4140Ends Dec 10, 2026
- Dr. Hannah WeissCAQH attestationCurrentCurrent. Start the renewal by Nov 16, 2026.No. RHP-CAQH-DEMO-4086Ends Dec 16, 2026
- Dr. Aisha GrantCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 20, 2026.No. RHP-BLS-DEMO-4058Ends Dec 22, 2026
- Dr. Julian MooreCAQH attestationCurrentCurrent. Start the renewal by Nov 23, 2026.No. RHP-CAQH-DEMO-4116Ends Dec 23, 2026
- Grace LiuMalpractice insuranceCurrentCurrent. Start the renewal by Nov 6, 2026.No. RHP-MAL-DEMO-4124Ends Dec 23, 2026
- Dr. Priyanka RaoMalpractice insuranceCurrentCurrent. Start the renewal by Nov 27, 2026.No. RHP-MAL-DEMO-4103Ends Jan 13, 2027
- Dr. Aisha GrantCAQH attestationCurrentCurrent. Start the renewal by Dec 15, 2026.No. RHP-CAQH-DEMO-4064Ends Jan 14, 2027
- Grace LiuCAQH attestationCurrentCurrent. Start the renewal by Dec 24, 2026.No. RHP-CAQH-DEMO-4130Ends Jan 23, 2027
- Caleb FosterState medical license (TN)CurrentCurrent. Start the renewal by Oct 30, 2026.No. TN-LIC-DEMO-4092Ends Jan 29, 2027
- Theo RamirezCAQH attestationCurrentCurrent. Start the renewal by Jan 1, 2027.No. RHP-CAQH-DEMO-4052Ends Jan 31, 2027
- Dr. Hannah WeissMalpractice insuranceCurrentCurrent. Start the renewal by Dec 28, 2026.No. RHP-MAL-DEMO-4081Ends Feb 11, 2027
- Dr. Aisha GrantMalpractice insuranceCurrentCurrent. Start the renewal by Jan 18, 2027.No. RHP-MAL-DEMO-4057Ends Mar 4, 2027
- Dr. Rosa DelgadoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 6, 2026.No. MCR-ENR-DEMO-4155Ends Mar 6, 2027
- Dr. Ethan ColePayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Nov 16, 2026.No. MCD-ENR-DEMO-4142Ends Mar 16, 2027
- Dr. Ethan ColePayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 30, 2026.No. MCR-ENR-DEMO-4141Ends Mar 30, 2027
- Caleb FosterPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 9, 2026.No. HARB-ENR-DEMO-4100Ends Apr 8, 2027
- Dr. Rosa DelgadoMalpractice insuranceCurrentCurrent. Start the renewal by Mar 1, 2027.No. RHP-MAL-DEMO-4147Ends Apr 15, 2027
- Theo RamirezState medical license (TN)CurrentCurrent. Start the renewal by Feb 4, 2027.No. TN-LIC-DEMO-4046Ends May 5, 2027
- Dr. Hannah WeissPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 8, 2027.No. BLUE-ENR-DEMO-4090Ends May 8, 2027
- Dr. Hannah WeissState medical license (TN)CurrentCurrent. Start the renewal by Feb 10, 2027.No. TN-LIC-DEMO-4080Ends May 11, 2027
- Nadia BrooksPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jan 29, 2027.No. LARK-ENR-DEMO-4045Ends May 31, 2027
- Dr. Julian MooreState medical license (TN)CurrentCurrent. Start the renewal by Mar 29, 2027.No. TN-LIC-DEMO-4111Ends Jun 27, 2027
- Caleb FosterCPR / BLS certificationCurrentCurrent. Start the renewal by Jun 11, 2027.No. RHP-BLS-DEMO-4094Ends Jul 13, 2027
- Dr. Ethan ColeMalpractice insuranceCurrentCurrent. Start the renewal by Jun 4, 2027.No. RHP-MAL-DEMO-4135Ends Jul 19, 2027
- Dr. Julian MoorePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Mar 31, 2027.No. HARB-ENR-DEMO-4119Ends Jul 29, 2027
- Dr. Aisha GrantState controlled substance registration (VA)CurrentCurrent. Start the renewal by Jun 4, 2027.No. VA-CSR-DEMO-4063Ends Aug 5, 2027
- Caleb FosterMalpractice insuranceCurrentCurrent. Start the renewal by Jun 25, 2027.No. RHP-MAL-DEMO-4093Ends Aug 9, 2027
- Dr. Julian MooreMalpractice insuranceCurrentCurrent. Start the renewal by Jun 25, 2027.No. RHP-MAL-DEMO-4112Ends Aug 9, 2027
- Dr. Priyanka RaoPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Apr 30, 2027.No. BLUE-ENR-DEMO-4110Ends Aug 28, 2027
- Nadia BrooksMalpractice insuranceCurrentCurrent. Start the renewal by Jul 27, 2027.No. RHP-MAL-DEMO-4037Ends Sep 10, 2027
- Dr. Ethan ColeCPR / BLS certificationCurrentCurrent. Start the renewal by Sep 17, 2027.No. RHP-BLS-DEMO-4136Ends Oct 19, 2027
- Dr. Ethan ColePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jun 30, 2027.No. LARK-ENR-DEMO-4143Ends Oct 28, 2027
- Nadia BrooksCPR / BLS certificationCurrentCurrent. Start the renewal by Oct 8, 2027.No. RHP-BLS-DEMO-4038Ends Nov 7, 2027