- Practice location
- 100 Foden, West, South Portland, ME 04106
- Phone
- 207-523-3767
- Fax
- 888-440-2293
- Last updated
- May 12, 2026
Intermed, PA is a healthcare organization based in South Portland, ME. Intermed, PA practices in South Portland, ME. The NPI Number for Intermed, PA is 1295607836. The current practice location address for Intermed, PA is 100 Foden, West, South Portland, ME 04106 and can be reached out via phone at 207-523-3767 and via fax at 888-440-2293.
Provider Profile Details
- NPI Number
- 1295607836
- Provider Name
- Intermed, PA
- Provider Entity Type
- Organization
- Address
- 100 Foden, West, South Portland, ME 04106
- Phone Number
- 207-523-3767
- Fax Number
- 888-440-2293
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Roger Poitras · Chief Executive Officer · 207-347-2853
- Provider Enumeration Date
- September 23, 2025
- Last Update Date
- May 12, 2026
- Certification Date
- May 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Foden, West
South Portland, ME 04106 - City
- South Portland
- State
- Maine
- Zip
- 04106
- Phone Number
- 207-523-3767
- Fax Number
- 888-440-2293
Provider Business Mailing Address Details
- Address
- 100 Gannett Dr Ste C
South Portland, ME 04106-5900 - City
- South Portland
- State
- ME
- Zip
- 04106-5900
- Phone Number
- 207-347-2947
License Information
- Taxonomy (1)
- Dermatology · 207N00000X
- Taxonomy (2)
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Taxonomy (3)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Taxonomy (4)
- Otolaryngology · 207Y00000X
- Taxonomy (5)
- Audiologist · 231H00000X
- Taxonomy (6)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near South Portland, ME
View all Pediatrics providers in South Portland →Frequently Asked Questions
What is the NPI number of Intermed, PA?
The NPI number of Intermed, PA is 1295607836. It was assigned on September 23, 2025 and is currently active in the NPPES registry.
What is the specialty of Intermed, PA?
Intermed, PA is registered under the primary taxonomy Pediatrics (code 208000000X).
Where does Intermed, PA practice?
The practice location is 100 Foden, West, South Portland, ME 04106. The office can be reached at 207-523-3767 (phone) or 888-440-2293 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295607836 directly on the NPPES registry website.