Platinum Health, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

034111 Issued in MN

Legal business name

PLATINUM HEALTH, LLC

Practice address

9825 Hospital Dr.
Suite 105
Maple Grove, MN 55369-7073

Phone

(763) 383-7818

Fax

(763) 553-9340

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul N Yakshe, MD

Title

President

Phone

(763) 383-7818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1164548590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 ROSEWOOD LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412712",
            "telephone_number": "763-383-7818",
            "fax_number": "763-553-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR.",
            "address_2": "SUITE 105",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697073",
            "telephone_number": "763-383-7818",
            "fax_number": "763-553-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "YAKSHE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-383-7818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "034111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory C Pippert, MD
• Stacy Pirruccello, OD
• Andrew John Pisansky, MD, MS
• Corey Pisk, PHARM.D.
• Plateau Healthcare Maple Grove LLC
• Erin Ann Plourde, PA-C
• Sarbani Podder
• Leslie Nicole Pohl, BAN, RN, PHN, SANE
• Pete Albert Pooler, MD
• Kathryn Popp, CPNP

• Specialist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.