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

Intermed, PA

Organization Family Medicine Physician · NPI 1609755701

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

In the registry since
2025
Specialties on file
2
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 Rd E Ste 203
South Portland, ME 04106-1715
Phone: (207) 874-1489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1609755701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Poitras — Chief Executive Officer · (207) 347-2853
NPI enumeratedSeptember 2, 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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