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

Ray W. Johnson, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1629099072

Ray W. Johnson, MD is a Dermatology in Prescott, Arizona. Graduated from Columbia University College of Physicians and Surgeons in 1995, 31 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
31
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
AZ
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

830 Ainsworth Dr
Prescott, AZ 86301-1630
Phone: (928) 777-5800
Fax: (928) 776-0405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 203 S Candy Ln # 14, Cottonwood, AZ 86326-4120 — (928) 639-3387
  • 820 Ainsworth Dr Ste B, Prescott, AZ 86301-1613 — (928) 777-5810
  • 820 Ainsworth Dr Ste A, Prescott, AZ 86301-1613 — (928) 777-5800
  • 1000 Ainsworth Dr Ste 330, Prescott, AZ 86305-1682 — (928) 777-5830
  • 2820 N Glassford Hill Rd Ste 107, Prescott Valley, AZ 86314-2256 — (928) 772-8553
  • 2820 N Glassford Hill Rd Ste 103, Prescott Valley, AZ 86314-2256 — (928) 772-8553

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 29683 (AZ)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence AZ29683 (AZ)
Dermatopathology Physician Taxonomy 207ND0900X · Licence AZ29683 (AZ)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence AZ29683 (AZ)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence AZ29683 (AZ)

Record details

NPI number1629099072
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address801 York St, Manitowoc, WI 54220-4630

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1995 (31 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Prescott