Elizabeth L Capasso-Gulve, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085000905 Issued in IL

Practice address

4600 Memorial Dr Ste W3
Belleville, IL 62226-5359

Phone

(618) 222-8900

Fax

(618) 416-4449

NPI assigned

Apr 25, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760657266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WEST LINCOLN",
            "address_2": "SUITE 300",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201986",
            "telephone_number": "618-234-2566",
            "fax_number": "618-234-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MEMORIAL DR STE W3",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265359",
            "telephone_number": "618-222-8900",
            "fax_number": "618-416-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPASSO-GULVE",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085000905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cameron, OTR
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• Tamiere Cannon, CNA
• Susan Caponi, SLP
• Erica L Card, FNP
• Cardiology Consultants LTD
• Caritas Family Solutions
• Jason Patrick Carmichael, MD

• Physician Assistant in Belleville, IL
• Providers in Belleville, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.