INTERMED, PA
NPI 1992194963
Family Medicine in Yarmouth, ME
NPI Status: Active since January 14, 2015
Contact Information
259 MAIN ST
YARMOUTH, ME
ZIP 04096
Phone: (207) 846-9013
Fax: (207) 523-8586
- Organization
- Family Medicine
- CLIA Number: 20D0088258
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-03-2026
About INTERMED, PA
This page provides the complete NPI Profile along with additional information for Intermed, Pa, a primary care provider established in Yarmouth, Maine operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1992194963 assigned on January 2015. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. 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 Mr. William G Ferentz (Chief Financial Officer)
- NPI
- 1992194963
- Provider Name
- INTERMED, PA
- Entity Type
- Organization
- Location Address
- 259 MAIN ST YARMOUTH, ME 04096
- Location Phone
- (207) 846-9013
- Location Fax
- (207) 523-8586
- Mailing Address
- 100 GANNETT DR SUITE C SOUTH PORTLAND, ME 04106
- Mailing Phone
- (207) 828-0361
- Mailing Fax
- (207) 523-8586
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-14-2015
- Last Update Date
- 07-15-2021
- Code Navigator
A primary care provider (PCP) like Intermed, Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 2 | 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.
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
- 20D0088258
- Facility Type
- Physician Office
- Certificate Effective Date
- February 04, 2024
- Certificate Expiration Date
- February 03, 2026
- Laboratory Director
- KRISTINA MCELHINNEY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Intermed, Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 | 9 | 9 | 2 | 1 | 9 | 4 | 9 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 2 | 9 | 8 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 2 + 9 + 8 + 9 + 1 + 2 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1992194963 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023087251 | MS. JODIE JACOBS PAC Individual | Physician Assistant | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9013 |
| 1841259967 | WESLEY D JOHNSON MD Individual | Family Medicine | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9013 |
| 1093774119 | DOUGLAS C AIKEN MD Individual | Family Medicine | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9013 |
| 1336100213 | MS. JACQUELINE BATES FNP Individual | Nurse Practitioner | 259 MAIN ST YARMOUTH HEALTH CENTER YARMOUTH, ME 04096 (207) 846-9013 |
| 1639138894 | CHRISTINE L GATES MD Individual | Family Medicine | 259 MAIN ST YARMOUTH, ME 04096 (207) 874-1489 |
| 1831158955 | PETER T GORDON MD Individual | Internal Medicine | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9013 |
| 1053391748 | STEPHEN B JACOBS MD Individual | Pediatrics | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9602 |
| 1003395302 | SARAH ELIZABETH PRICE NP Individual | Nurse Practitioner | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9602 |
| 1255301701 | SHASHI T. PANOZZO MD Individual | Family Medicine | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9013 |
| 1548402332 | DR. JONATHAN BAUSMAN D.O. Individual | Pediatrics | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9602 |
| 1043873896 | MOLLY SKOG RN Individual | Nurse Practitioner | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9602 |
| 1609196450 | MEAGHAN E. DALY MD Individual | Dermatology | 259 MAIN ST YARMOUTH, ME 04096 (207) 523-3900 |
| 1164840666 | ERIN FELLER MD Individual | Pediatrics | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9602 |
| 1306229521 | DR. ANTHONY J. BUSTAMANTE M.D. Individual | Family Medicine | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9013 |
| 1528618089 | ELIZABETH CAREW MSN, RN, CPNP-PC Individual | Nurse Practitioner (Pediatrics) | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9602 |
| 1801527957 | CASEY C SANFILIPPO APRN, FNP-BC Individual | Nurse Practitioner | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9013 |
| 1457469447 | MRS. BARRETT GRIMNES PA-C Individual | Physician Assistant | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9013 |
| 1457474132 | KRISTIN COLEMAN MD Individual | Family Medicine | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9013 |
| 1568530418 | DR. PETER E SEDGWICK MD Individual | Family Medicine (Sports Medicine) | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9013 |
| 1437733987 | ANNA NATHALIE ALTHAUS PA-C Individual | Physician Assistant | 259 MAIN ST YARMOUTH, ME 04096 (207) 846-9013 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992194963, enumerated in the NPI registry as an "organization" on January 14, 2015
The provider is located at 259 Main St Yarmouth, Me 04096 and the phone number is (207) 846-9013
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 20D0088258 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on January 14, 2015. 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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