Teig Marco

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TEIG MARCO

Doing business as

Fairfax Associates in Medicine

Practice address

1199 Main St
Fairfax, VT 05454-9530

Phone

(802) 849-2844

Fax

(802) 849-2644

NPI assigned

Mar 9, 2007

Last updated

Aug 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teig D Marco, M.D.NPI 1114996972

Title

Owner

Phone

(802) 849-2844

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Fairfax Associates in Medicine Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teig D Marco, M.D.

  • Internal Medicine Physician
  • Fairfax, VT
  • NPI 1114996972
  Authorized official Same address or phone

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1891826780",
    "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "MARCO",
        "authorized_official_first_name": "TEIG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "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": "1020886",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009429",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax Associates in Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Nicole Merrill, PT
• Northwestern Medical Center, Inc. (Northwestern Georgia Health Center)
• Kathleen Talbot Santos, PA
• Anne T Standish, N.P.P.
• Summit View Counseling
• Teig Marco Dba Fairfax Associates in Medicine
• The Richford Health Center Inc (Fairfax Health Center)
• The Richford Health Center Inc (Georgia Health Center)
• The Richford Health Center Inc (Fairfax Pharmacy)
• Trevor Gregory Trombley, PT, DPT

• Internal Medicine Physician in Fairfax, VT
• Providers in Fairfax, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.