Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jodi Southam, MD

Individual provider Orthopaedic Surgery Physician · NPI 1942422167

Jodi Southam, MD is an Orthopedic Surgery in Salt Lake City, Utah. Graduated from Georgetown University School of Medicine in 2005, 21 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Utah.

Years since qualifying
21
Trained at
Georgetown University School of Medicine
Licensed in
PA, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 587-5455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 7618740-1205 (UT)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MT186754 (PA)

Record details

NPI number1942422167
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESFebruary 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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