Organization Active NPI

Norton Medical LLC

  • Family Medicine Physician
  • Pueblo West, CO
National Provider Identifier
1427148147
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35634 Issued in CO
Legal business name
NORTON MEDICAL LLC
Practice address
356 S McCulloch Blvd, Suite 105
Pueblo West, CO 81007
Phone
(719) 601-7481
Fax
(719) 941-7329
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Jade Norton, DONPI 1982705182
Title
Physicain/Owner
Phone
(719) 601-7481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 35634 CO Primary

Addresses

Primary practice location

356 S McCulloch Blvd, Suite 105
Pueblo West, CO 81007

Mailing address

356 S McCulloch Blvd, Suite 105
Pueblo West, CO 81007
Phone (719) 601-7481

Other names 1

  • Eagleridge Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260212000822 CO Part B Supplier - Clinic/Group Practice 0446738314 Receives reassigned benefits from 1 practitioner
Practice locations: Pueblo West, CO

National Provider Directory

National Provider Directory

Locations

356 S McCulloch Blvd
Ste 105
Pueblo West, CO 81007
Phone (719) 601-7481

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1427148147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 S MCCULLOCH BLVD, SUITE 105",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "81007",
            "telephone_number": "719-601-7481",
            "fax_number": "719-941-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 S MCCULLOCH BLVD, SUITE 105",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "81007",
            "telephone_number": "719-601-7481",
            "fax_number": "719-941-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "PHYSICAIN/OWNER",
        "authorized_official_telephone_number": "719-601-7481",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "35634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagleridge Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo West, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.