CONNOR CACKOVIC DO – NPI #1336907906
Preventive Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

CONNOR CACKOVIC is a physician located in KITTERY, ME. NPPES has assigned the NPI number 1336907906 to CONNOR CACKOVIC on March 08, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083P0011X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Undersea and Hyperbaric Medicine

The NPI profile was last updated on Mar 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONNOR CACKOVIC below.

NPI Profile for
CONNOR CACKOVIC

NPI Number
1336907906
Enumeration Date

(more than 2 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CONNOR CACKOVIC
Credentials
DO
Primary location
402 GOODRICH AVE
KITTERY, ME 03904
Phone: (888) 628-9633 Fax:
Mailing address
402 GOODRICH AVENUE
KITTERY, ME 03904
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine (Primary)
AZ 011862

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.