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
4 records for providers who work at Eastgate Family Care, Jefferson Park and Stonebridge. Clear all filters
- Theo RamirezMalpractice insuranceExpiringPolicy ends in 20 days. Renewal sent Sep 22, 2026.No. RHP-MAL-DEMO-4047Ends Oct 27, 2026
- Dr. Hannah WeissPayer enrollment: Larkspur Health PlanPendingApplication sent Aug 28, 2026 (40 days ago) and not approved yet.No. LARK-ENR-DEMO-4088
- Dr. Priyanka RaoCPR / BLS certificationAction dueRenewal under way. Renewal sent Oct 4, 2026. Expires Nov 1, 2026.No. RHP-BLS-DEMO-4104Ends Nov 1, 2026
- Nadia BrooksState medical license (TN)Action dueRenewal under way. Renewal sent Sep 27, 2026. Expires Dec 21, 2026.No. TN-LIC-DEMO-4036Ends Dec 21, 2026