Platinum Health Regenerative Solutions, PA

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PLATINUM HEALTH REGENERATIVE SOLUTIONS, PA

Practice address

2780 Snelling Ave N Ste 202
Roseville, MN 55113-7126

Phone

(651) 779-8883

NPI assigned

Jan 7, 2019

Organization subpart

No

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

Authorized official

Name

Heather Stuckey

Title

Coo

Phone

(651) 779-8883

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1649743220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 SNELLING AVE N STE 202",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137126",
            "telephone_number": "651-779-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SNELLING AVE N STE 202",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137126",
            "telephone_number": "651-779-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM HEALTH REGENERATIVE SOLUTIONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "651-779-8883"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Neck and Back Clinics PA
• Erika Tyyne Pieniniemi, MPS, LPCC, LADC
• Kelly Pieper, MSW, LICSW
• Jennifer Lee Pinion, LMFT
• Ryan N Plasch, MS, LPCC
• Philip C Pole, PHARM.D, R.PH
• Joshua Destura Policarpio, PHARMD
• Michelle Renise Polries, RN
• Eric B Polson, PT
• Raymond John Poor, M.D.

• Multi-Specialty Clinic/Center in Roseville, MN
• Providers in Roseville, MN by specialty
• Multi-Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.