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

Geoffrey Owen McNicoll, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255438586

Geoffrey Owen McNicoll, MD is a Family Practice in Puyallup, Washington. Qualified in 2005, 21 years ago. Practices with Franciscan Medical Group, a 1,417-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine and Washington.

Years since qualifying
21
Licensed in
ME, WA
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.

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Practice location Address checks out

15214 Canyon Rd E Ste 100
Puyallup, WA 98375-7472
Phone: (253) 539-4200
Fax: (253) 539-6005
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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 MD60180279 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence EC081117 (ME)

Record details

NPI number1255438586
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESMarch 31, 2011

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Franciscan Medical Group — 1417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Puyallup