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

Samuel Lynn Southam, MD

Individual provider Diagnostic Radiology Physician · NPI 1104868850

Samuel Lynn Southam, MD is a Diagnostic Radiology in Provo, Utah. Graduated from University of Colorado School of Medicine, Denver in 2003, 23 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in New Mexico and Utah.

Years since qualifying
23
Trained at
University of Colorado School of Medicine, Denver
Licensed in
NM, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7850
Fax: (801) 357-7626
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2005-0536 (NM)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 12285899-1205 (UT)

Record details

NPI number1104868850
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2003 (23 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Provo