Active NPI
Teig Marco Dba Fairfax Associates in Medicine
- Internal Medicine Physician
- Fairfax, VT
National Provider Identifier
1801928262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009284 | Medicaid | VT |
Other names 1
- Audrey von Lepel
National Provider Directory
National Provider DirectoryLocations
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.