INTERMED, PA
NPI 1467422733
Internal Medicine in South Portland, ME
NPI Status: Active since January 26, 2006
Contact Information
100 GANNETT DR
SUITE C
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 828-0361
Fax: (207) 874-1483
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 20D2110230
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-10-2026
About INTERMED, PA
This page provides the complete NPI Profile along with additional information for Intermed, Pa, an internist established in South Portland, Maine operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1467422733 assigned on January 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated August 2025. Intermed, Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Roger A. Poitras (Chief Executive Officer)
- NPI
- 1467422733
- Provider Name
- INTERMED, PA
- Entity Type
- Organization
- Location Address
- 100 GANNETT DR SUITE C SOUTH PORTLAND, ME 04106
- Location Phone
- (207) 828-0361
- Location Fax
- (207) 874-1483
- Mailing Address
- 100 GANNETT DR SUITE C SOUTH PORTLAND, ME 04106
- Mailing Phone
- (207) 828-0361
- Mailing Fax
- (207) 874-1483
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-26-2006
- Last Update Date
- 08-21-2025
- Code Navigator
An internist like Intermed, Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 2 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 207QS0010X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 5 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 7 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 8 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 9 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 10 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 11 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
| 12 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 20D2110230
- Facility Type
- Physician Office
- Certificate Effective Date
- August 11, 2024
- Certificate Expiration Date
- August 10, 2026
- Laboratory Director
- KENNETH J. GALECKAS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Intermed, Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 4 | 2 | 2 | 7 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 8 | 2 | 4 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 8 + 2 + 4 + 7 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1467422733 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073759700 | DARRELL ALEXANDER CARON MSW, MS, LCSW Individual | Social Worker (Clinical) | 100 GANNETT DR SOUTH PORTLAND, ME 04106 (207) 899-8403 |
| 1548630221 | MRS. ALLISON RUTH CHASE LMSW-CC Individual | Social Worker (Clinical) | 100 GANNETT DR SOUTH PORTLAND, ME 04106 (207) 854-1030 |
| 1386007045 | CONNECTIONS FOR KIDS Organization | Community/Behavioral Health | 100 GANNETT DR SOUTH PORTLAND, ME 04106 (207) 854-1030 |
| 1770825291 | COURTNEY MCNALLY LCPC-C Individual | Counselor (Mental Health) | 100 GANNETT DR PORTLAND, ME 04106 (207) 854-1030 |
| 1700338894 | TANY WALKER MSW, LMSW-CC Individual | Social Worker (Clinical) | 100 GANNETT DR S PORTLAND, ME 04106 (207) 854-1030 |
| 1538319744 | CONNECTIONS FOR KIDS Organization | Social Worker | 100 GANNETT DR SUITE A SOUTH PORTLAND, ME 04106 (207) 854-1030 |
| 1164068128 | SAMANTHA BLACKADAR LCSW, LICSW Individual | Social Worker (Clinical) | 100 GANNETT DR SOUTH PORTLAND, ME 04106 (207) 854-1030 |
| 1356923734 | MR. ALEX JAMES GILBERT LMSW - CC Individual | Social Worker (Clinical) | 100 GANNETT DR SOUTH PORTLAND, ME 04106 (207) 854-1030 |
| 1386217651 | SHERIE DAIGLE Individual | Social Worker (Clinical) | 100 GANNETT DR SOUTH PORTLAND, ME 04106 (207) 653-0746 |
| 1043985021 | DEBRA POW LMSWCC Individual | Social Worker | 100 GANNETT DR SOUTH PORTLAND, ME 04106 (207) 650-9580 |
| 1609356567 | EMILY MARRON WEBSTER Individual | Social Worker (Clinical) | 100 GANNETT DR SOUTH PORTLAND, ME 04106 (207) 289-7213 |
| 1114569001 | JULIE HRUBOWCHAK LCSW Individual | Social Worker | 100 GANNETT DR SOUTH PORTLAND, ME 04106 (207) 854-1030 |
| 1780228650 | DANIELLE ANDREE MACK LMSW-CC Individual | Social Worker (Clinical) | 100 GANNETT DR SOUTH PORTLAND, ME 04106 (207) 854-1030 |
| 1689157323 | JENNIFER H BROWN LCSW Individual | Social Worker (Clinical) | 100 GANNETT DR SOUTH PORTLAND, ME 04106 (207) 854-1030 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467422733, enumerated in the NPI registry as an "organization" on January 26, 2006
The provider is located at 100 Gannett Dr Suite C South Portland, Me 04106 and the phone number is (207) 828-0361
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 20D2110230 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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