INTERMED, PA – NPI #1295607836
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

INTERMED, PA is a provider located in SOUTH PORTLAND, ME. NPPES has assigned the NPI number 1295607836 to INTERMED, PA on September 23, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 12, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTERMED, PA below.

NPI Profile for
INTERMED, PA

NPI Number
1295607836
Enumeration Date

(about 8 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTERMED, PA
Primary location
100 FODEN, WEST
SOUTH PORTLAND, ME 04106
Phone: (207) 523-3767 Fax: (888) 440-2293
Mailing address
100 GANNETT DR STE C
SOUTH PORTLAND, ME 04106-5900
Phone: (207) 347-2947 Fax:
Organization Subpart
No
Authorized Official
ROGER POITRAS
CHIEF EXECUTIVE OFFICER
Phone: (207) 347-2853
Updated
Certification Date
May 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.