Individual provider Active NPI

Elizabeth F Connelly, DO

  • Hematology & Oncology Physician
  • Damariscotta, ME
National Provider Identifier
1841248804
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
DO1975 Issued in ME
Practice address
24 Miles Center Way
Damariscotta, ME 04543-4067
Phone
(207) 563-4046
Fax
(207) 810-4994
NPI assigned
May 4, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 34136 ME
Hematology & Oncology Physician 207RH0003X DOS-2523 HI
Hematology & Oncology Physician 207RH0003X DO1975 ME Primary

Addresses

Primary practice location

24 Miles Center Way
Damariscotta, ME 04543-4067

Mailing address

24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4046

Other practice location 1

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-4904

Other identifiers 1

IdentifierTypeStateIssuer
P00458864OtherMERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MT, ND, HI, NH5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20070104000035 ME Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 2062446446 Reassigns benefits to 5 organizations
I20220909002993 MT Practitioner - Hematology/Oncology 2062446446 Reassigns benefits to 1 organization
I20220924000406 ND Practitioner - Hematology/Oncology 2062446446 Reassigns benefits to 3 organizations
I20240205001289 HI Practitioner - Hematology/Oncology 2062446446 Reassigns benefits to 1 organization
I20250226004013 NH Practitioner - Medical OncologyPractitioner - Hematology/Oncology 2062446446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34136MEMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Billings Clinic CurrentSince Jul 25, 2022 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 22, 2024 Accepting new patients
Billings Clinic Hematology & Oncology CurrentSince Jul 25, 2022 Accepting new patients
Maine Medical Partners Current Accepting new patients
Billings Clinic Current Accepting new patients
Maine Medical Partners Hematology & Oncology CurrentSince Nov 9, 2021 Accepting new patients
Memorial Hospital Current Accepting new patients
Mercy Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Mercy Medical Center Current Accepting new patients
Mainehealth CurrentSince Nov 14, 2006 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Mercy Home Care CurrentSince Sep 1, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
Pines Health Services CurrentSince Jan 20, 2022 Accepting new patients
Pines Health Services CurrentSince Jan 20, 2022 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 22, 2024 Accepting new patients
Mainehealth CurrentSince Jun 1, 2014 Accepting new patients
Maine Center for Cancer Medicine & Blood Disorders, P.a. Hematology & Oncology Past Accepting new patients
The Aroostook Medical Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

3369 Solutions Ctr
Chicago, IL 60677

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345

163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

27 Industrial Ave
Ste 101
Sanford, ME 04073
Phone (207) 459-1666

100 Campus Dr
Scarborough, ME 04074
Phone (207) 396-7683

100 Campus Dr
Unit 108
Scarborough, ME 04074
Phone (207) 303-3300

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • Direct secure messaging: econnelly526946@direct.ochin.org

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1841248804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4046",
            "fax_number": "207-810-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4046",
            "fax_number": "207-810-4994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-4904",
            "fax_number": "603-356-0842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "ELIZABETH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ME",
            "license": "34136",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "HI",
            "license": "DOS-2523",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ME",
            "license": "DO1975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00458864",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

Verify at the official NPI Registry.