Connor Cackovic, DO
Individual provider Active NPI Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Kittery, ME
NPI 1336907906 · NPPES record last updated Mar 5, 2026
Key facts
- NPI
- 1336907906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X
- License
- 011862 (AZ)
- Practice address
- 402 Goodrich Ave
Kittery, ME 03904 - Phone
- (888) 628-9633
- NPI assigned
- Mar 8, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011862 | AZ | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 011862 | AZ | Yes |
Addresses
Primary practice location
402 Goodrich Ave
Kittery, ME 03904
Mailing address
402 Goodrich Avenue
Kittery, ME 03904
Other providers in Kittery, ME
- Kathryn A Brennan
- Brian Eugene Breslin
- Bright Cove Counseling LLC
- Kathryn Brokus
- Elizabeth A Brown
- Katherine Camire
- Cape Medical Supply, Inc.
- Mark P Cartier
- Donna Labrie Catalfo
- Ryan Erik Chessie
All providers in Kittery, ME · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.