Pediatrics
INTERMED, PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295607836 · enumerated 2025-09-23 · record updated 2026-05-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: ROGER POITRAS, Chief Executive Officer · (207) 347-2853
Addresses and phones
- Practice location 100 FODEN, WEST, SOUTH PORTLAND, ME, 04106 (207) 523-3767 Fax (888) 440-2293 Google Maps Apple Maps OpenStreetMap
- Mailing address 100 GANNETT DR STE C, SOUTH PORTLAND, ME, 04106-5900 (207) 347-2947 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X
- Dermatology, MOHS-Micrographic Surgery 207ND0101X
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Otolaryngology 207Y00000X
- Audiologist 231H00000X
- Pediatrics 208000000X · Primary
In this directory
Locations and evidence
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Practice location
SOUTH PORTLAND, ME, 04106
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.