Active NPIIndividual provider

Connor Cackovic, DO

Preventive Medicine, Undersea and Hyperbaric Medicine in Kittery, Maine

NPI Number1336907906
Practice location
402 Goodrich Ave, Kittery, ME 03904
Fax
—
Last updated
March 5, 2026

Connor Cackovic is a Preventive Medicine, Undersea and Hyperbaric Medicine based in Kittery, ME. Connor Cackovic practices in Kittery, ME and has the professional credentials of DO. The NPI Number for Connor Cackovic is 1336907906 and holds a License No. 011862 (AZ). The current practice location address for Connor Cackovic is 402 Goodrich Ave, Kittery, ME 03904 and can be reached out via phone at 888-628-9633.

Provider Profile Details

NPI Number
1336907906
Provider Name
Connor Cackovic
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
402 Goodrich Ave, Kittery, ME 03904
Phone Number
888-628-9633
Sole Proprietor
No
Provider Enumeration Date
March 8, 2024
Last Update Date
March 5, 2026
Certification Date
March 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
402 Goodrich Ave
Kittery, ME 03904
State
Maine
Zip
03904
Phone Number
888-628-9633
Kittery, ME 03904Get directions →

Provider Business Mailing Address Details

Address
402 Goodrich Avenue
Kittery, ME 03904
City
Kittery
State
ME
Zip
03904

License Information

License Number
011862
License State
AZ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Preventive Medicine, Undersea and Hyperbaric Medicine providers near Kittery, ME

View all Preventive Medicine, Undersea and Hyperbaric Medicine providers in Kittery →

Frequently Asked Questions

What is the NPI number of Connor Cackovic, DO?

The NPI number of Connor Cackovic, DO is 1336907906. It was assigned on March 8, 2024 and is currently active in the NPPES registry.

What is the specialty of Connor Cackovic, DO?

Connor Cackovic, DO is registered under the primary taxonomy Preventive Medicine, Undersea and Hyperbaric Medicine (code 2083P0011X), licensed in AZ under license number 011862.

Where does Connor Cackovic, DO practice?

The practice location is 402 Goodrich Ave, Kittery, ME 03904. The office can be reached at 888-628-9633 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336907906 directly on the NPPES registry website.

Browse related providers