Credential file
Dr. Ethan Cole, MD
Psychiatry, Physician
- NPI (National Provider Identifier)
- 9999999013
- Primary location
- Jefferson Park
- Works at
- Jefferson Park
- Billed to
- Medicare, State Medicaid, Larkspur Health Plan, Harborline Health
- Controlled substances
- Prescribes
- With the group since
- Aug 28, 2022
- Credentials tracked
- 11
- Needing action
- 0
Can work today
Location by location, before any payer question. Pick a payer and a date on the Readiness page.
- Jefferson ParkReady
Nothing stands in the way.
Timeline
A year back and two years ahead. The bar is the valid term; the tick is when renewal work starts.
- OIG exclusion check
- CAQH attestation
- Payer enrollment: State Medicaid
- Payer enrollment: Medicare
- Malpractice insurance
- CPR / BLS certification
- Payer enrollment: Larkspur Health Plan
- State medical license (TN)
- Payer enrollment: Harborline Health
- DEA registration (TN)
- Board certification
The vertical accent line is today. Each bar takes its status color; open a record for its status in words.
Required and not on file
Derived from where this provider works, who is billed, and whether they prescribe controlled substances.
Every requirement has a record.
On file
Worst first. Open any record for its rule, history and renewal workflow.
Current. Start the renewal by Oct 16, 2026.
Current. Start the renewal by Nov 9, 2026.
Current. Start the renewal by Nov 13, 2026.
Current. Start the renewal by Nov 27, 2026.
Current. Start the renewal by Jun 3, 2027.
Current. Start the renewal by Sep 17, 2027.
Current. Start the renewal by Jun 29, 2027.
Current. Start the renewal by Jul 28, 2028.
Current. Start the renewal by Sep 22, 2028.
Current. Start the renewal by May 23, 2029.
Current. Start the renewal by Apr 6, 2029.
Recent activity
From the audit trail: changes, notes, and the monthly exclusion checks that covered this provider.
- Sep 25, 2026 Exclusion check by Marisol Vega. Searched the exclusion list on Sep 25, 2026 for 13 providers; nobody is excluded. Next check due Oct 25, 2026. Covered: Dr. Owen Hale, Dr. Lena Okafor, Dr. Marcus Bell, Nadia Brooks, Theo Ramirez, Dr. Aisha Grant, Dr. Samuel Ortiz, Dr. Hannah Weiss, Caleb Foster, Dr. Julian Moore, Grace Liu, Dr. Ethan Cole, Dr. Rosa Delgado.
- Sep 21, 2026 Renewal recorded by Marisol Vega. Recorded the renewal: new term Oct 27, 2026 to Oct 27, 2028, replacing one that ran to Oct 26, 2026.
- Aug 27, 2026 Exclusion check by Marisol Vega. Searched the exclusion list on Aug 27, 2026 for 14 providers; nobody is excluded. Next check due Sep 27, 2026. Covered: Dr. Owen Hale, Dr. Lena Okafor, Dr. Marcus Bell, Nadia Brooks, Theo Ramirez, Dr. Aisha Grant, Dr. Samuel Ortiz, Dr. Hannah Weiss, Caleb Foster, Dr. Priyanka Rao, Dr. Julian Moore, Grace Liu, Dr. Ethan Cole, Dr. Rosa Delgado.
- Jul 29, 2026 Exclusion check by Marisol Vega. Searched the exclusion list on Jul 29, 2026 for 14 providers; nobody is excluded. Next check due Aug 29, 2026. Covered: Dr. Owen Hale, Dr. Lena Okafor, Dr. Marcus Bell, Nadia Brooks, Theo Ramirez, Dr. Aisha Grant, Dr. Samuel Ortiz, Dr. Hannah Weiss, Caleb Foster, Dr. Priyanka Rao, Dr. Julian Moore, Grace Liu, Dr. Ethan Cole, Dr. Rosa Delgado.
- Jun 30, 2026 Exclusion check by Marisol Vega. Searched the exclusion list on Jun 30, 2026 for 13 providers; nobody is excluded. Next check due Jul 30, 2026. Covered: Dr. Owen Hale, Dr. Lena Okafor, Dr. Marcus Bell, Nadia Brooks, Theo Ramirez, Dr. Aisha Grant, Dr. Samuel Ortiz, Caleb Foster, Dr. Priyanka Rao, Dr. Julian Moore, Grace Liu, Dr. Ethan Cole, Dr. Rosa Delgado.