Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Ettinger, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477088672

Kyle Ettinger, DO is an Emergency Medicine in Rockport, Maine. Qualified in 2017, 9 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
9
Licensed in
ME
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone: (207) 301-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 High St, Buffalo, NY 14203-1126 — (716) 859-1499

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DO3070 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477088672
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 25, 2017
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020
Mailing address100 High St, Bgh Department Of Emergency Medicine (D-6), Buffalo, NY 14203-1126

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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