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
6 records for providers who work at Main Campus and Riverside Orthopedics. Clear all filters
- Dr. Rosa DelgadoPayer enrollment: State MedicaidLapsedLapsed 20 days ago. No renewal has been recorded.No. MCD-ENR-DEMO-4156Ends Sep 17, 2026
- Dr. Aisha GrantState medical license (VA)LapsedLapsed 3 days ago. No renewal has been recorded.No. VA-LIC-DEMO-4056Ends Oct 4, 2026
- Dr. Owen HaleDEA registration (TN)ExpiringExpires in 12 days. Renewal not started.No. TN-DEA-DEMO-4006Ends Oct 19, 2026
- Caleb FosterBoard certificationExpiringExpires in 45 days. Renewal not started.No. RHP-BRD-DEMO-4095Ends Nov 21, 2026
- Dr. Lena OkaforPayer enrollment: MedicareAction dueRenewal work should have started 26 days ago. Revalidate by Jan 10, 2027.No. MCR-ENR-DEMO-4018Ends Jan 10, 2027
- Dr. Julian MoorePrivileges: Cumberland Surgery CenterAction dueRenewal under way. Renewal sent Oct 2, 2026. Reappointment due Jan 15, 2027.No. CUMB-PRV-DEMO-4121Ends Jan 15, 2027