Modern Spine PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

MODERN SPINE PLLC

Doing business as

Modern Spine

Practice address

15101 NE 193Rd CT
Brush Prairie, WA 98606-3915

Phone

(971) 220-1970

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

David Allen Yam, MD

Title

Neurological Surgeon

Phone

(971) 220-1970

Specialties & licenses 1

Addresses

Other names 1

• Modern Spine Doing business as

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1538864673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 NE 193RD CT",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986063915",
            "telephone_number": "971-220-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 NE 193RD CT",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986063915",
            "telephone_number": "971-220-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "YAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "NEUROLOGICAL SURGEON",
        "authorized_official_telephone_number": "971-220-1970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modern Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew R Majury
• Kelly Keen Martin, LMP
• Cambria McCallum, ATC, RN
• Alissa Nicole McPherson, SLP
• Lori Miller
• Katie Emily Moore, AAS, CDPT
• Amanda Drew Morgan, DC
• Viorica Muresan
• Sarah Pitoyo
• Veyra Margarita Prado Tinajero

• Neurological Surgery Physician in Brush Prairie, WA
• Providers in Brush Prairie, WA by specialty
• Neurological Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.