Intermed, PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

20D0088755 Issued in ME

Legal business name

INTERMED, PA

Practice address

50 Foden Rd
South Portland, ME 04106-1718

Phone

(207) 828-0361

Fax

(855) 576-4814

NPI assigned

Sep 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roger A. Poitras

Title

Chief Executive Officer

Phone

(207) 347-2853

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Daniel Pierce MD9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

• Intermed, PA

  • Pediatrics Physician
  • South Portland, ME
  • NPI 1295607836
  NPD tax ID
• Intermed, PA

  • Diagnostic Radiology Physician
  • South Portland, ME
  • NPI 1326486101
  NPD tax ID
• Intermed, PA

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1336538198
  NPD tax ID
• Intermed, PA

  • General Practice Physician
  • South Portland, ME
  • NPI 1528535739
  NPD tax ID
• Intermed, PA

  • Family Medicine Physician
  • South Portland, ME
  • NPI 1609755701
  NPD tax ID
• Intermed, PA

  • Obstetrics & Gynecology Physician
  • Scarborough, ME
  • NPI 1831016153
  NPD tax ID
• Intermed, PA

  dba InterMed Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Portland, ME
  • NPI 1942388418
  NPD tax ID
• Intermed, PA

  • Family Medicine Physician
  • Yarmouth, ME
  • NPI 1992194963
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDGCAA

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1033367982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GANNETT DRIVE",
            "address_2": "SUITE C",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065900",
            "telephone_number": "207-347-2947",
            "fax_number": "207-253-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FODEN RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061718",
            "telephone_number": "207-828-0361",
            "fax_number": "855-576-4814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Scarborough Downs Road",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "04074",
            "country_code": "US",
            "telephone_number": "207-347-2947",
            "fax_number": "207-253-6099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "84 Marginal Way Ste 700",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012474",
            "country_code": "US",
            "telephone_number": "207-774-5816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "259 Main St",
            "address_purpose": "LOCATION",
            "city": "Yarmouth",
            "state": "ME",
            "postal_code": "040966723",
            "country_code": "US",
            "telephone_number": "207-846-9013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Foden Rd",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062327",
            "country_code": "US",
            "telephone_number": "207-347-2695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERMED, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "POITRAS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-347-2853"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ME",
            "license": "20D0088755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Ann Inosencio, LCSW
• Melissa Ann Inshiqaq
• Integral Nutrition, LLC
• Integrative Healers PLLC
• Integrative Somatic Trauma Therapy
• Intermed, PA
• Intermed, PA
• Intermed, PA
• Intermed, PA
• Intermed, PA

• Clinical Medical Laboratory in South Portland, ME
• Providers in South Portland, ME by specialty
• Clinical Medical Laboratory in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.