CHMM Elko Mso, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CHMM ELKO MSO, LLC

Practice address

2102 Idaho Street
Elko, NV 89801

Phone

(775) 389-5777

Fax

(775) 360-3602

NPI assigned

Nov 24, 2021

Organization subpart

Yes

Parent organization

CHMM ELKO MSO LLCAs reported in NPPES

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

Authorized official

Name

Elizabeth Ann Greer

Title

Office Manager

Phone

(775) 389-5777

Specialties & licenses 2

Addresses

Other names 1

• ELKO COMMUNITY PHYSICIANS GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Part of

CHMM Elko Mso LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas John Carlevato, MD

  • Vascular & Interventional Radiology Physician
  • Elko, NV
  • NPI 1457383812

  NV

  Medicare reassignment Care Compare group NPD
• Robert Lamar Rice, M.D.

  • Hematology & Oncology Physician
  • Finksburg, MD
  • NPI 1699720136

  NV

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1821755869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898011805",
            "telephone_number": "775-389-5777",
            "fax_number": "775-360-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 IDAHO STREET",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "89801",
            "telephone_number": "775-389-5777",
            "fax_number": "775-360-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHMM ELKO MSO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHMM ELKO MSO LLC",
        "enumeration_date": "2021-11-24",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "775-389-5777"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELKO COMMUNITY PHYSICIANS GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ELKO COMMUNITY PHYSICIANS GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlynne Chapman
• Charles K. Dahlgren, M.D., Corp
• Charles K. Dahlgren, MD Corporation
• Michael Charlton
• Children'S Dentistry of Elko
• Pongkarn Chokjarunate
• Cassi Sue Christensen, RBT
• Erin Mae Christensen
• Stephanie L Christensen, CABI
• City of Elko Municipal Water Works

• All providers in Elko, NV
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.