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
49 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
- 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. Hannah WeissOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4084Ends Oct 26, 2026
- Dr. Ethan ColeOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4138Ends Oct 26, 2026
- Dr. Priyanka RaoCAQH attestationCurrentCurrent. Start the renewal by Oct 23, 2026.No. RHP-CAQH-DEMO-4107Ends Nov 22, 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. Priyanka RaoMalpractice insuranceCurrentCurrent. Start the renewal by Nov 27, 2026.No. RHP-MAL-DEMO-4103Ends Jan 13, 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. 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
- 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. Ethan ColeMalpractice insuranceCurrentCurrent. Start the renewal by Jun 4, 2027.No. RHP-MAL-DEMO-4135Ends Jul 19, 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
- Nadia BrooksPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jul 28, 2027.No. MCD-ENR-DEMO-4044Ends Nov 25, 2027
- Nadia BrooksPayer enrollment: MedicareCurrentCurrent. Start the renewal by Aug 11, 2027.No. MCR-ENR-DEMO-4043Ends Dec 9, 2027
- Dr. Hannah WeissCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 19, 2027.No. RHP-BLS-DEMO-4082Ends Dec 20, 2027
- Theo RamirezPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 8, 2027.No. LARK-ENR-DEMO-4053Ends Jan 6, 2028
- Dr. Priyanka RaoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 29, 2027.No. LARK-ENR-DEMO-4109Ends Jan 27, 2028
- Dr. Hannah WeissPrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Nov 19, 2027.No. ASH-PRV-DEMO-4091Ends Mar 19, 2028
- Theo RamirezDEA registration (TN)CurrentCurrent. Start the renewal by May 18, 2028.No. TN-DEA-DEMO-4051Ends Jul 17, 2028
- Theo RamirezCPR / BLS certificationCurrentCurrent. Start the renewal by Jul 20, 2028.No. RHP-BLS-DEMO-4048Ends Aug 19, 2028
- Dr. Hannah WeissDEA registration (TN)CurrentCurrent. Start the renewal by Aug 15, 2028.No. TN-DEA-DEMO-4085Ends Oct 14, 2028
- Dr. Priyanka RaoState medical license (TN)CurrentCurrent. Start the renewal by Jul 20, 2028.No. TN-LIC-DEMO-4102Ends Oct 18, 2028
- Dr. Ethan ColeState medical license (TN)CurrentCurrent. Start the renewal by Jul 28, 2028.No. TN-LIC-DEMO-4134Ends Oct 28, 2028
- Nadia BrooksBoard certificationCurrentCurrent. Start the renewal by Jun 9, 2028.No. RHP-BRD-DEMO-4039Ends Dec 8, 2028
- Dr. Hannah WeissBoard certificationCurrentCurrent. Start the renewal by Jun 28, 2028.No. RHP-BRD-DEMO-4083Ends Dec 25, 2028
- Dr. Hannah WeissPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 1, 2028.No. HARB-ENR-DEMO-4089Ends Jan 1, 2029
- Dr. Ethan ColePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Sep 22, 2028.No. HARB-ENR-DEMO-4144Ends Jan 22, 2029
- Nadia BrooksDEA registration (TN)CurrentCurrent. Start the renewal by Nov 24, 2028.No. TN-DEA-DEMO-4041Ends Jan 24, 2029
- Theo RamirezPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 1, 2028.No. HARB-ENR-DEMO-4054Ends Apr 2, 2029
- Dr. Ethan ColeDEA registration (TN)CurrentCurrent. Start the renewal by May 24, 2029.No. TN-DEA-DEMO-4139Ends Jul 23, 2029
- Dr. Ethan ColeBoard certificationCurrentCurrent. Start the renewal by Apr 6, 2029.No. RHP-BRD-DEMO-4137Ends Oct 5, 2029
- Theo RamirezBoard certificationCurrentCurrent. Start the renewal by Jul 27, 2029.No. RHP-BRD-DEMO-4049Ends Jan 23, 2030
- Dr. Priyanka RaoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Apr 30, 2030.No. MCR-ENR-DEMO-4108Ends Aug 28, 2030
- Dr. Priyanka RaoBoard certificationCurrentCurrent. Start the renewal by May 7, 2030.No. RHP-BRD-DEMO-4105Ends Nov 3, 2030
- Dr. Hannah WeissPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Apr 18, 2031.No. MCD-ENR-DEMO-4087Ends Aug 18, 2031