Active NPI
Wilson Merrell Craghead, PA-C
- Emergency Medicine Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 6837
- Practice address
- 459 S Gilbert Rd
Suite a-138
Gilbert, AZ 85234 - Phone
- (623) 226-8825
- NPI assigned
- Sep 7, 2017
- Last updated
- Jan 31, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6837 | AZ | |
| Emergency Medicine Physician | 207P00000X | 6837 | AZ | Primary |
Addresses
Primary practice location
459 S Gilbert Rd
Suite a-138
Gilbert, AZ 85234
Mailing address
1327 E 8TH St
Mesa, AZ 85203-6503
Phone (480) 734-8254
Other practice location 1
1600 S 20th Ave
Safford, AZ 85546-4011
Phone (928) 348-4177
Other practice location 2
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-4809
Other names 1
- Will Craghead
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6837 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Emergency Associates, LTD. | Emergency Medicine | Current | Accepting new patients |
| Mt Graham Regional Medical Center Inc | Current | Accepting new patients | |
| Honorhealth | Current | Accepting new patients | |
| Honorhealth | Current | Accepting new patients | |
| Pete S Coury MD PLLC | Family Medicine | Past | Accepting new patients |
Locations
4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100
1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000
5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Safford, AZ
- NPI 1275588345
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
-
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1083671432
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1821391269
AZ
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
-
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1023298551
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1588797765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1073031308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 E 8TH ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852036503",
"telephone_number": "480-734-8254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 S GILBERT RD",
"address_2": "SUITE A-138",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85234",
"telephone_number": "623-226-8825"
}
],
"practiceLocations": [
{
"address_1": "1600 S 20th Ave",
"address_purpose": "LOCATION",
"city": "Safford",
"state": "AZ",
"postal_code": "855464011",
"country_code": "US",
"telephone_number": "928-348-4177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7400 E Osborn Rd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852516432",
"country_code": "US",
"telephone_number": "480-882-4809",
"fax_number": "866-584-5451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAGHEAD",
"first_name": "WILSON",
"middle_name": "MERRELL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-07",
"last_updated": "2022-01-31",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "6837",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "6837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WILL",
"last_name": "CRAGHEAD",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.