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 8, 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
33 records for providers who work at Main Campus and Stonebridge. Clear all filters
- Dr. Rosa DelgadoPayer enrollment: State MedicaidLapsedLapsed 20 days ago. No renewal has been recorded.No. MCD-ENR-DEMO-4156Ends Sep 18, 2026
- Dr. Nora WhitfieldPayer enrollment: Bluestem MutualMissingNothing on file. Visits are billed to Bluestem Mutual.
- Dr. Nora WhitfieldPayer enrollment: Larkspur Health PlanPendingApplication sent Sep 18, 2026 (20 days ago) and not approved yet.No. LARK-ENR-DEMO-4165
- Dr. Nora WhitfieldPayer enrollment: MedicarePendingApplication sent Sep 8, 2026 (30 days ago) and not approved yet.No. MCR-ENR-DEMO-4164
- Dr. Lena OkaforPayer enrollment: MedicareAction dueRenewal work should have started 27 days ago. Revalidate by Jan 11, 2027.No. MCR-ENR-DEMO-4018Ends Jan 11, 2027
- Dr. Priyanka RaoCPR / BLS certificationAction dueRenewal under way. Renewal sent Oct 5, 2026. Expires Nov 2, 2026.No. RHP-BLS-DEMO-4104Ends Nov 2, 2026
- Dr. Nora WhitfieldCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 4, 2026.No. RHP-BLS-DEMO-4160Ends Dec 4, 2026
- Dr. Aisha GrantCPR / BLS certificationCurrentCurrent. Start the renewal by Nov 23, 2026.No. RHP-BLS-DEMO-4058Ends Dec 23, 2026
- Dr. Samuel OrtizPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Nov 2, 2026.No. LARK-ENR-DEMO-4076Ends Mar 2, 2027
- Dr. Rosa DelgadoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 6, 2026.No. MCR-ENR-DEMO-4155Ends Mar 7, 2027
- Dr. Owen HaleCPR / BLS certificationCurrentCurrent. Start the renewal by Mar 19, 2027.No. RHP-BLS-DEMO-4003Ends Apr 19, 2027
- Dr. Lena OkaforPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jan 1, 2027.No. MCD-ENR-DEMO-4019Ends May 2, 2027
- Dr. Owen HalePayer enrollment: MedicareCurrentCurrent. Start the renewal by Feb 9, 2027.No. MCR-ENR-DEMO-4008Ends Jun 9, 2027
- Dr. Priyanka RaoPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Apr 30, 2027.No. BLUE-ENR-DEMO-4110Ends Aug 29, 2027
- Dr. Owen HalePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by May 3, 2027.No. LARK-ENR-DEMO-4009Ends Aug 31, 2027
- Dr. Lena OkaforPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jul 9, 2027.No. BLUE-ENR-DEMO-4021Ends Nov 7, 2027
- Theo RamirezPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 9, 2027.No. LARK-ENR-DEMO-4053Ends Jan 7, 2028
- Dr. Priyanka RaoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 30, 2027.No. LARK-ENR-DEMO-4109Ends Jan 28, 2028
- Dr. Lena OkaforPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Dec 9, 2027.No. LARK-ENR-DEMO-4020Ends Apr 7, 2028
- Dr. Samuel OrtizPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jan 28, 2028.No. HARB-ENR-DEMO-4077Ends May 27, 2028
- Dr. Samuel OrtizCPR / BLS certificationCurrentCurrent. Start the renewal by Apr 28, 2028.No. RHP-BLS-DEMO-4070Ends May 29, 2028
- Dr. Aisha GrantPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Feb 22, 2028.No. MCD-ENR-DEMO-4065Ends Jun 21, 2028
- Dr. Aisha GrantPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Feb 25, 2028.No. BLUE-ENR-DEMO-4067Ends Jun 26, 2028
- Theo RamirezCPR / BLS certificationCurrentCurrent. Start the renewal by Jul 21, 2028.No. RHP-BLS-DEMO-4048Ends Aug 20, 2028
- Dr. Rosa DelgadoCPR / BLS certificationCurrentCurrent. Start the renewal by Aug 11, 2028.No. RHP-BLS-DEMO-4148Ends Sep 11, 2028
- Dr. Rosa DelgadoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by May 19, 2028.No. LARK-ENR-DEMO-4157Ends Sep 16, 2028
- Dr. Lena OkaforCPR / BLS certificationCurrentCurrent. Start the renewal by Aug 24, 2028.No. RHP-BLS-DEMO-4013Ends Sep 23, 2028
- Dr. Owen HalePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jul 28, 2028.No. HARB-ENR-DEMO-4010Ends Nov 25, 2028
- Dr. Aisha GrantPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jul 28, 2028.No. LARK-ENR-DEMO-4066Ends Nov 25, 2028
- Dr. Samuel OrtizPayer enrollment: MedicareCurrentCurrent. Start the renewal by Oct 25, 2028.No. MCR-ENR-DEMO-4075Ends Feb 22, 2029
- Theo RamirezPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 4, 2028.No. HARB-ENR-DEMO-4054Ends Apr 3, 2029
- Dr. Samuel OrtizPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 15, 2029.No. BLUE-ENR-DEMO-4078Ends May 15, 2029
- Dr. Priyanka RaoPayer enrollment: MedicareCurrentCurrent. Start the renewal by May 1, 2030.No. MCR-ENR-DEMO-4108Ends Aug 29, 2030