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

Dr. John Blaise Ellery III, MD

Individual provider Family Medicine Physician · NPI 1962039511

Dr. John Blaise Ellery III, MD is a Family Practice in Sequim, Washington. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2020, 6 years ago. Practices with Jamestown S'Klallam Tribe, a 38-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
WA
In the registry since
2020
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

808 N 5th Ave
Sequim, WA 98382-3045
Phone: (360) 683-5900
Fax: (360) 582-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61439050 (WA)

Record details

NPI number1962039511
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Jamestown S'Klallam Tribe — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sequim