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
21 records for providers who work at 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 RaoMalpractice insuranceCurrentCurrent. Start the renewal by Nov 27, 2026.No. RHP-MAL-DEMO-4103Ends Jan 13, 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
- Dr. Hannah WeissPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 8, 2027.No. BLUE-ENR-DEMO-4090Ends May 8, 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 ColePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jun 30, 2027.No. LARK-ENR-DEMO-4143Ends Oct 28, 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
- 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 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
- Theo RamirezPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 1, 2028.No. HARB-ENR-DEMO-4054Ends Apr 2, 2029
- Dr. Priyanka RaoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Apr 30, 2030.No. MCR-ENR-DEMO-4108Ends Aug 28, 2030
- Dr. Hannah WeissPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Apr 18, 2031.No. MCD-ENR-DEMO-4087Ends Aug 18, 2031