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Deactivated NPI 1154314730 Deactivated / Inactive NPI Male Practitioner

Dr. William Wade Collison , MD

Surgery - Plastic and Reconstructive Surgery • Prescott, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Collison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2005
NPI Deactivation Date October 09, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. William Collison, MD was a registered Surgery - Plastic and Reconstructive Surgery practicing in Prescott, AZ. Throughout an active medical career spanning 20 years, Dr. Collison provided care at the practice location at 1050 GAIL GARDNER WAY until profile deactivation on 2025-10-09.

Practice Location & Contact Primary Location

Practice Address

1050 Gail Gardner Way
200

Prescott, AZ 863051630

Telephone 9287783838
Fax 9287785630
Associated Practice Facility / Clinic
🏢 Wm. Wade Collison Md Facility NPI 1548593916

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Prescott, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Prescott, AZ (69 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License AZ 10644

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. James Cahill , MD

Psychiatry & Neurology - Psychiatry

NPI 1174575013

Doctor of Medicine (M.D.)

Lynn Perlenfein , PA-C

Physician Assistant

NPI 1881641553

Physician Assistant (Certified)

Dr. Dora Sherman , DO

Family Medicine

NPI 1881980746

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated October 09, 2025

Record deactivated on October 09, 2025

NPI Profile Active March 27, 2018

NPI status registered as active in NPPES database

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Updated Practice Location March 27, 2018

Registered at 1050 GAIL GARDNER WAY, 200, PRESCOTT, AZ 863051630 (Tel: 9287783838)

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Updated Business Mailing Address March 27, 2018

Registered at PO BOX 10880, PRESCOTT, AZ 863040880 (Tel: 9287595987)

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Provider Name / Credentials Updated March 27, 2018

Recorded as WILLIAM COLLISON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2018

Surgery (License #10644 in AZ)

NPI Profile Active December 15, 2014

NPI status registered as active in NPPES database

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Updated Practice Location December 15, 2014

Registered at 1050 GAIL GARDNER WAY, 200, PRESCOTT, AZ 863051630 (Tel: 9287783838)

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Updated Business Mailing Address December 15, 2014

Registered at 1050 GAIL GARDNER WAY, 200, PRESCOTT, AZ 863051630 (Tel: 9287783838)

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Provider Name / Credentials Updated December 15, 2014

Recorded as WILLIAM COLLISON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2014

Surgery (License #10644 in AZ)

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Initial NPI Registration & Enumeration August 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154314730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2005
Last Update: December 15, 2014
Deactivation Date: October 09, 2025

Mailing Address

1050 Gail Gardner Way, 200

Prescott, AZ 863051630

Phone: 9287783838

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.