Active NPIOrganization

Intermed, PA

Pediatrics in South Portland, Maine

NPI Number1295607836
Practice location
100 Foden, West, South Portland, ME 04106
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
State
Maine
Zip
04106
Phone Number
207-523-3767
Fax Number
888-440-2293
South Portland, ME 04106Get directions →

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

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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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.

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