Documents Checklist

Identification

Driver's License
NPI
Green Card (if applicable)
DD Form 214 (if discharged from military within the last 10 years)
ODE (for active military providers)

Education and Training

Medical school diploma
Residency / Fellowship certificate
ECFMG certificate (if applicable)
Board certification (if applicable)

Current CV with detailed work history

State Medical licenses

Prior Malpractice Insurance Certificates for the past ten years

DEA

Control Substance License (if applicable)

Life Support Certifications (ACLS, PALS, ATLS etc)

CME usually for last 3 years

Case logs (if applicable according to your specialty and work)

References: 3-4 references from your specialty who have worked with you recently

Immunization Record and/or titers

TB test within the past 12 months or recent X-ray Chest

Proof of Flu shot