NPI 1528535739 · live from the CMS NPI Registry
Intermed, PA
General Practice in South Portland, ME. National Provider Identifier 1528535739, active.
NPI record
| NPI | 1528535739 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Practice 208D00000X |
| Practice location | 50 Foden Rd, South Portland, ME 04106 |
| Practice phone | 207-523-3700 |
| Mailing address | 100 Gannett Dr Ste C, South Portland, ME 04106 |
| Enumerated | October 25, 2018 |
| Last updated | May 12, 2026 |
| Authorized official | Roger Poitras, Chief Executive Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Anesthesiology | 207L00000X | — |
| Family Medicine | 207Q00000X | — |
| Family Medicine, Sports Medicine | 207QS0010X | — |
| Internal Medicine | 207R00000X | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| General Practice primary | 208D00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.