FAIRFAX ASSOCIATES IN MEDICINE PLLC
NPI 1952780314
Internal Medicine in Fairfax, VT

NPI Status: Active since May 19, 2015

Contact Information

1199 MAIN ST
FAIRFAX, VT
ZIP 05454
Phone: (802) 849-2844
Fax: (802) 849-2644

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  • Organization
  • Internal Medicine
  • CLIA Number: 47D2239748
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 10-13-2025

About FAIRFAX ASSOCIATES IN MEDICINE PLLC

This page provides the complete NPI Profile along with additional information for Fairfax Associates In Medicine Pllc, an internist established in Fairfax, Vermont operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1952780314 assigned on May 2015. The practitioner's primary taxonomy code is 207R00000X with license number 0420007724 (VT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Audrey Elizabeth Von Lepel Md (Owner)

NPI
1952780314
Provider Name
FAIRFAX ASSOCIATES IN MEDICINE PLLC
Entity Type
Organization
Location Address
1199 MAIN ST FAIRFAX, VT 05454
Location Phone
(802) 849-2844
Location Fax
(802) 849-2644
Mailing Address
1199 MAIN ST FAIRFAX, VT 05454
Mailing Phone
(802) 849-2844
Mailing Fax
(802) 849-2644
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2015
Last Update Date
05-19-2015
Code Navigator

An internist like Fairfax Associates In Medicine Pllc 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
License No.
0420007724
License State
VT
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. AUDREY ELIZABETH VON LEPEL MD

Authorized Official Title
OWNER
Authorized Official Phone
(802) 849-2844

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
47D2239748
Facility Type
School/Student Health Service
Certificate Effective Date
October 14, 2023
Certificate Expiration Date
October 13, 2025
Laboratory Director
JOHN TAGUE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fairfax Associates In Medicine Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1952780314
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29102148032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 4 + 8 + 0 + 3 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1952780314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114996972 TEIG D MARCO M.D.
Individual
Internal Medicine1199 MAIN ST
FAIRFAX, VT 05454
(802) 849-2844
1457310740 AUDREY ELIZABETH VONLEPEL M.D.
Individual
Internal Medicine1199 MAIN ST
FAIRFAX, VT 05454
(802) 849-2844
1801928262TEIG MARCO DBA FAIRFAX ASSOCIATES IN MEDICINE
Organization
Internal Medicine1199 MAIN ST
FAIRFAX, VT 05454
(802) 849-2844
1114260015MR. JOSEPH MATTHEW BOONE NP-C
Individual
Nurse Practitioner (Family)1199 MAIN ST
FAIRFAX, VT 05454
(802) 849-2844
1891826780TEIG MARCO
Organization
Internal Medicine1199 MAIN ST
FAIRFAX, VT 05454
(802) 849-2844
1457714065 KATHLEEN TALBOT SANTOS PA
Individual
Physician Assistant1199 MAIN ST
FAIRFAX, VT 05454
(802) 849-2844
1124757620 EMMA WATERS PA-C
Individual
Physician Assistant1199 MAIN ST
FAIRFAX, VT 05454
(802) 849-2844
1164971495THE RICHFORD HEALTH CENTER INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1199 MAIN ST
FAIRFAX, VT 05454
(802) 849-2844

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952780314, enumerated in the NPI registry as an "organization" on May 19, 2015

The provider is located at 1199 Main St Fairfax, Vt 05454 and the phone number is (802) 849-2844

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider's CLIA number is 47D2239748 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 19, 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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