Healthcare Provider Details

I. General information

NPI: 1417219510
Provider Name (Legal Business Name): JONATHAN GLOVER SEAVEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 COMMERCIAL AVE
ANACORTES WA
98221-2734
US

IV. Provider business mailing address

1211 24TH ST
ANACORTES WA
98221-2562
US

V. Phone/Fax

Practice location:
  • Phone: 360-299-4218
  • Fax:
Mailing address:
  • Phone: 360-299-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101256116
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD61141013
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: