| Jodi Southam, MD | |
|
590 S Wakara Way, Salt Lake City, UT 84108-1200 | |
| (801) 587-5455 | |
| Not Available |
| Full Name | Jodi Southam |
|---|---|
| Gender | Female |
| Speciality | Orthopedic Surgery |
| Experience | 21 Years |
| Location | 590 S Wakara Way, Salt Lake City, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942422167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MT186754 (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | 7618740-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Sunnyside Medical Center | Clackamas, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1498 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Southam, MD 417 E 300 S Apt 9, Salt Lake City, UT 84111-2672 Ph: (202) 746-0089 | Jodi Southam, MD 590 S Wakara Way, Salt Lake City, UT 84108-1200 Ph: (801) 587-5455 |
Dr. Laura Ann Baker Lins, MD, MPH, ATC Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Cameron R. Guy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Benjamin Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 82 S 1100 E Ste 303, Salt Lake City, UT 84102 Phone: 801-533-2002 Fax: 801-323-9546 | |
Thomas D. Bauman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8163 Fax: 801-355-4011 | |
Jaclyn Aleksandra Konopka, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Kayla L. Gates, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way, Salt Lake City, UT 84108 Phone: 801-587-5448 | |
Jeffrey D Jackson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124 Phone: 801-261-7479 Fax: 801-261-7429 |