MEDICARE: DR. MATTHEW DARL NORTON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	02004554A	IN
2	207R00000X	Internal Medicine Physician	02004554A	IN

General Provider Information

NPI Number	:	1205064870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW DARL NORTON DO

Provider Business Mailing Address
First Line	:	2102 E INWOOD RD
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46614-2443
Country	:	US
Telephone Number	:	574-299-2400
Fax Number	:	574-299-2410

Provider Business Practice Location Address
First Line	:	2102 E INWOOD RD
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46614-2443
Country	:	US
Telephone Number	:	574-299-2400
Fax Number	:	574-299-2410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	04/29/2024

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