Dominique Caporusso, PA-C
Dominique Caporusso, PA-C is a Physician Assistant in Erlanger, Kentucky. Qualified in 2019, 7 years ago. Practices with Complexcare Medical Group Midwest M PLLC, a 80-clinician group and accepts Medicare assignment. Licensed in Kentucky.
- Years since qualifying
- 7
- Licensed in
- KY
- In the registry since
- 2019
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
650 Sprucewood LnErlanger, KY 41018-1062
Phone: (859) 282-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence TC835 (KY) |
|---|
Record details
| NPI number | 1225697329 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2019 |
| Last updated in NPPES | January 17, 2022 |
| Certification date | January 17, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Complexcare Medical Group Midwest M Pllc — 80 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Erlanger
-
Daniel Lee Mullins, PA-C
1825 Airport Exchange Blvd Ste 100, Erlanger, KY 41018-3900 · (859) 647-6228