OrganizationActive
Chmm Pahrump Mso, LLC
NPI 1417684713 · General Practice Physician · Pahrump, NV
Provider details
- NPI number
- 1417684713
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Chmm Pahrump Mso, LLC
- Organization subpart
- Yes
- Authorized official
- Tillie Andrade, Mso Director(702) 449-9173
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
360 S Lola Ln
Pahrump, NV 89048-0884
Phone: (702) 449-9173
Street-level locationGet directions
Mailing address
222 S Meramec Ave Ste 202
Saint Louis, MO 63105-3514
Other names (DBA / former)
- Doing business as
- Pahrump Community Physicians Group
Registry dates
- Enumerated
- 2022-08-05
- Last updated
- 2022-08-08
- Certified
- 2022-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.