Individual provider Active NPI

Wilson Merrell Craghead, PA-C

  • Emergency Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1073031308
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
6837 Issued in AZ
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180713001977 AZ Practitioner - Physician Assistant 0042566531 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6837AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Emergency Associates, LTD. Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince Oct 1, 2021 Accepting new patients
Honorhealth CurrentSince Jul 25, 2023 Accepting new patients
Honorhealth CurrentSince Jul 25, 2023 Accepting new patients
Pete S Coury MD PLLC Family Medicine PastSince Nov 1, 2004 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.

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

Verify at the official NPI Registry.