NPI 1336538198

Intermed, PA

Organisation Internal Medicine Physician Portland, ME

Practice location

Address: 84 Marginal Way, Portland, ME 04101-2443
Phone: (207) 774-5816
Fax: (855) 576-4814
Mailing address: 100 Gannett Dr Suite C, South Portland, ME 04106-5900

Authorised official

Name: Roger A. Poitras
Title: Chief Executive Officer
Phone: (207) 347-2853

Registered specialties (6)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Maine →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Maine →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Maine →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Maine →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Maine →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Maine →

Registry record

NPI: 1336538198
Entity type: Organization
NPI issued: 16 Jan 2015
Record last updated: 12 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.