Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
Download CSV
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
7 records for providers who work at Eastgate Family Care, Riverbend, Riverside Orthopedics and Stonebridge. Clear all filters
- Grace LiuState controlled substance registration (VA)ExpiringExpires in 25 days. Renewal not started.No. VA-CSR-DEMO-4129Ends Nov 1, 2026
- Caleb FosterBoard certificationExpiringExpires in 45 days. Renewal not started.No. RHP-BRD-DEMO-4095Ends Nov 21, 2026
- Theo RamirezMalpractice insuranceExpiringPolicy ends in 20 days. Renewal sent Sep 22, 2026.No. RHP-MAL-DEMO-4047Ends Oct 27, 2026
- Grace LiuDEA registration (VA)Action dueRenewal work should have started 5 days ago. Expires Dec 1, 2026.No. VA-DEA-DEMO-4128Ends Dec 1, 2026
- Dr. Priyanka RaoCPR / BLS certificationAction dueRenewal under way. Renewal sent Oct 4, 2026. Expires Nov 1, 2026.No. RHP-BLS-DEMO-4104Ends Nov 1, 2026
- Nadia BrooksState medical license (TN)Action dueRenewal under way. Renewal sent Sep 27, 2026. Expires Dec 21, 2026.No. TN-LIC-DEMO-4036Ends Dec 21, 2026
- 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