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
8 records for providers who work at Eastgate Family Care, Riverside Orthopedics and Stonebridge. Clear all filters
- Nadia BrooksCAQH attestationLapsedLapsed 10 days ago. No renewal has been recorded.No. RHP-CAQH-DEMO-4042Ends Sep 27, 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. Julian MooreCAQH attestationCurrentCurrent. Start the renewal by Nov 23, 2026.No. RHP-CAQH-DEMO-4116Ends Dec 23, 2026
- Theo RamirezCAQH attestationCurrentCurrent. Start the renewal by Jan 1, 2027.No. RHP-CAQH-DEMO-4052Ends Jan 31, 2027
- Theo RamirezDEA registration (TN)CurrentCurrent. Start the renewal by May 18, 2028.No. TN-DEA-DEMO-4051Ends Jul 17, 2028
- Dr. Julian MooreDEA registration (TN)CurrentCurrent. Start the renewal by Aug 17, 2028.No. TN-DEA-DEMO-4115Ends Oct 16, 2028
- Nadia BrooksDEA registration (TN)CurrentCurrent. Start the renewal by Nov 24, 2028.No. TN-DEA-DEMO-4041Ends Jan 24, 2029