CCRM Donor Egg Bank LLC

Primary specialty

Ambulatory Fertility FacilityTaxonomy code 261QA0006X

Legal business name

CCRM DONOR EGG BANK LLC

Practice address

10290 Ridgegate Cir
Lone Tree, CO 80124-5331

Phone

(303) 788-8300

Fax

(303) 788-8310

NPI assigned

Jun 17, 2025

Organization subpart

No

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

Authorized official

Name

Matt Tyson

Title

Director, Managed Care Contracting

Phone

(615) 477-6677

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1104712967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10290 RIDGEGATE CIR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245331",
            "telephone_number": "303-788-8300",
            "fax_number": "303-788-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 RIDGEGATE CIR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245331",
            "telephone_number": "303-788-8300",
            "fax_number": "303-788-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRM DONOR EGG BANK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "615-477-6677"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Strojny DC, PC
• Zoie Evelyn Cason, PA-C
• Corinne Cass
• John Catania, D.O.
• Jason Robert Catanzaro, M.D.
• CCRM Managment Company, LLC
• Chester M Cedars, M.D.
• Center for Voice and Swallowing Services, LLC
• Jolene Rene Chadwick, RN
• Frank Hosuk Chae, MD

• Clinic/Center in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.