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
5 records for providers who work at Jefferson Park, 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
- Dr. Priyanka RaoOIG exclusion checkLapsedLapsed 9 days ago. No renewal has been recorded.No. RHP-OIG-DEMO-4106Ends Sep 28, 2026
- Dr. Julian MooreBoard certificationMissingNothing on file. Required by payer contracts and facility bylaws.
- Caleb FosterBoard certificationExpiringExpires in 45 days. Renewal not started.No. RHP-BRD-DEMO-4095Ends Nov 21, 2026
- Theo RamirezMalpractice insuranceExpiringPolicy ends in 20 days. Renewal sent Sep 22, 2026.No. RHP-MAL-DEMO-4047Ends Oct 27, 2026