Provider Demographics
NPI:1134189434
Name:OCONNOR, CATHERINE E (MD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7291
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04243-7291
Mailing Address - Country:US
Mailing Address - Phone:207-777-8950
Mailing Address - Fax:207-777-8800
Practice Address - Street 1:99 CAMPUS AVE., SUITE 401
Practice Address - Street 2:ST MARY'S SURGICAL ASSOCIATES
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6045
Practice Address - Country:US
Practice Address - Phone:207-777-8650
Practice Address - Fax:207-777-8641
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036158770208600000X
NY60277802208600000X
MA76180208600000X
MEMD17051208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA76180OtherMEDICAL LICENSE
ME017051OtherMEDICAL LICENSE
NY60277802OtherMEDICAL LICENSE
MA76180OtherMEDICAL LICENSE