CCRM NORTHERN VIRGINIA, LLC – NPI #1598297269
Clinic/Center

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)

Health Care Provider Taxonomy Code for Clinic/Center

CCRM NORTHERN VIRGINIA, LLC is an AHC clinic located in VIENNA, VA. NPPES has assigned the NPI number 1598297269 to CCRM NORTHERN VIRGINIA, LLC on March 31, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0006X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Fertility Facility

The NPI profile was previously updated about 5 years ago on Jun 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCRM NORTHERN VIRGINIA, LLC below.

NPI Profile for
CCRM NORTHERN VIRGINIA, LLC

NPI Number
1598297269
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCRM NORTHERN VIRGINIA, LLC
Primary location
8010 TOWERS CRESCENT DR
5TH FLOOR
VIENNA, VA 22182-2710
Phone: (571) 789-2100 Fax:
Mailing address
9380 STATION ST
STE 425
LONE TREE, CO 80124-6831
Phone: (303) 968-1950 Fax:
Organization Subpart
No
Authorized Official
JON PARDEW
CEO
Phone: (303) 885-5762
Updated
Certification Date
Jun 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0006X
- Clinic/Center / Ambulatory Fertility Facility (Primary)
261QA1903X
- Clinic/Center / Ambulatory Surgical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.