Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CCRM DONOR EGG BANK LLC
NPI 1104712967
Clinic/Center - Ambulatory Fertility Facility in Lone Tree, CO

Q: What is Ccrm Donor Egg Bank LLC's NPI number?

The NPI number for Ccrm Donor Egg Bank LLC is 1104712967. It was assigned to this organization in the NPPES registry on June 17, 2025.

Q: What is Ccrm Donor Egg Bank LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Fertility Facility, with taxonomy code 261QA0006X.

Active since June 17, 2025

10290 RIDGEGATE CIR, LONE TREE, CO 80124(303) 788-8300(303) 788-8310 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, Jun 17, 2025 (2 updates tracked since 2025).

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About Ccrm Donor Egg Bank Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CCRM DONOR EGG BANK LLC (NPI 1104712967) is a healthcare organization registered as an ambulatory fertility facility in Lone Tree, Colorado and active in the NPI registry since June 2025. The organization lists Matt Tyson, Director, Managed Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1104712967

Entity TypeOrganization

Primary Taxonomy261QA0006X

Legal Business NameCCRM DONOR EGG BANK LLC

Location Address10290 RIDGEGATE CIRLone Tree, CO 80124-5331

Mailing Address10290 Ridgegate CirLone Tree, CO 80124-5331 · (303) 788-8300 · Fax (303) 788-8310

Phone(303) 788-8300

Fax(303) 788-8310

Organization SubpartNo

Authorized OfficialMatt TysonDirector, Managed Care Contracting · (615) 477-6677

Enumeration DateJune 17, 2025

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1104712967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory Fertility FacilityAmbulatory Health Care Facilities

Taxonomy Code261QA0006X

Definition

A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

10290 RIDGEGATE CIR, Lone Tree, CO 80124

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ROSS EHRHART MD

Obstetrics & Gynecology (Reproductive Endocrinology)

10290 RIDGEGATE CIR
LONE TREE, CO 80124

Douglas County (303) 788-8300

TIFFANY A VON WALD M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

10290 RIDGEGATE CIR
LONE TREE, CO 80124

Douglas County (303) 788-8300

WILLIAM B. SCHOOLCRAFT M.D. P.C

Clinic/Center (Ambulatory Surgical)

10290 RIDGEGATE CIR
LONE TREE, CO 80124

Douglas County (303) 788-8300

KATHERINE M JENKINS NP

Nurse Practitioner (Obstetrics & Gynecology)

10290 RIDGEGATE CIR
LONETREE, CO 80124

Douglas County (303) 788-8300

MELANIE BENTLEY WHNP

Nurse Practitioner (Women's Health)

10290 RIDGEGATE CIR
LONE TREE, CO 80124

Douglas County (303) 788-8300

YANHUA LIU NP

Nurse Practitioner (Family)

10290 RIDGEGATE CIR
LONE TREE, CO 80124

Douglas County (303) 788-8300

ERIC S SURREY M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

10290 RIDGEGATE CIR
LONE TREE, CO 80124

Douglas County (303) 788-8300

CCRM MANAGMENT COMPANY, LLC

Clinic/Center (Ambulatory Fertility Facility)

10290 RIDGEGATE CIR
LONE TREE, CO 80124

Douglas County (303) 625-9134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ccrm Donor Egg Bank LLC's NPI number?

The NPI number for Ccrm Donor Egg Bank LLC is 1104712967. It was assigned to this organization in the NPPES registry on June 17, 2025.

Where is Ccrm Donor Egg Bank LLC located?

Ccrm Donor Egg Bank LLC is located at 10290 Ridgegate Cir, Lone Tree, CO 80124. The listed phone number is (303) 788-8300.

What is Ccrm Donor Egg Bank LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Fertility Facility, with taxonomy code 261QA0006X.

When was this NPI record last updated?

The NPPES record for Ccrm Donor Egg Bank LLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.