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

Intermed, PA

Organization Dermatology Physician · NPI 1295607836

Intermed, PA is a Dermatology Physician in South Portland, Maine. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Foden W
South Portland, ME 04106
Phone: (207) 523-3767
Fax: (888) 440-2293
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Dermatology Physician Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Otolaryngology Physician Taxonomy 207Y00000X
Psychiatry Physician Taxonomy 2084P0800X
Audiologist Taxonomy 231H00000X

Record details

NPI number1295607836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Poitras — Chief Executive Officer · (207) 347-2853
NPI enumeratedSeptember 23, 2025
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address100 Gannett Dr Ste C, South Portland, ME 04106-5900

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