Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
Download CSV
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
153 records for providers who work at East Region and West Region, showing 151 to 153. Clear all filters
- Grace LiuPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 25, 2030.No. MCR-ENR-DEMO-4131Ends Mar 25, 2031
- Dr. Julian MoorePayer enrollment: MedicareCurrentCurrent. Start the renewal by Dec 19, 2030.No. MCR-ENR-DEMO-4117Ends Apr 18, 2031
- Dr. Hannah WeissPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Apr 21, 2031.No. MCD-ENR-DEMO-4087Ends Aug 19, 2031