Organization Active NPI

Teig Marco Dba Fairfax Associates in Medicine

  • Internal Medicine Physician
  • Fairfax, VT
National Provider Identifier
1801928262
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TEIG MARCO DBA FAIRFAX ASSOCIATES IN MEDICINE
Practice address
1199 Main St
Fairfax, VT 05454-9530
Phone
(802) 849-2844
Fax
(802) 849-2644
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Audrey Von Lepel, M.D.
Title
Physician
Phone
(802) 849-2844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1199 Main St
Fairfax, VT 05454-9530

Mailing address

1199 Main St
Fairfax, VT 05454-9530
Phone (802) 849-2844

Other identifiers 1

IdentifierTypeStateIssuer
0009284MedicaidVT

Other names 1

  • Audrey von Lepel Other name

National Provider Directory

National Provider Directory

Locations

1199 Main St
Fairfax, VT 05454
Phone (802) 849-2023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1801928262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 MAIN ST",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054549530",
            "telephone_number": "802-849-2844",
            "fax_number": "802-849-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 MAIN ST",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054549530",
            "telephone_number": "802-849-2844",
            "fax_number": "802-849-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEIG MARCO DBA FAIRFAX ASSOCIATES IN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "VON LEPEL",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "802-849-2844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009284",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audrey von Lepel",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfax, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.