CHARLES H JOHNSON (NPI# 1336129667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336129667 |
| Entity Type | Individual |
| Full Name | CHARLES H JOHNSON |
| Credential | M.D. |
| Practice Address |
830 Ainsworth Drive Prescott AZ 86301-1614 |
| Mailing Address |
830 Ainsworth Dr Prescott AZ 86301-1630 |
| Practice Telephone | 9287760325 |
| Practice Fax Number | 9287760405 |
| Mailing Telephone | 9287760325 |
| Mailing Fax Number | 9287760405 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2019-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 17178 | AZ | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 17178 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 282731 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18325 N Allied Way Ste 120, Phoenix, AZ 850543107 | 9287760325 | 9287760405 |
| 203 S Candy Ln Ste 14, Cottonwood, AZ 863264120 | 9286393387 | 9286340311 |
| 2820 N Glassford Hill Rd Ste 107, Prescott Valley, AZ 863142256 | 9287728553 | 9287723861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689293995 | Charles Johnson | Student in an Organized Health Care Education/Training Program | 1322 N Rutherford Blvd Apt I51, Murfreesboro, TN 37130-8430 | 2020-04-16 |
| 1518522796 | Charles Lee Johnson Sr. | Technician | 2010 Parkhill Dr, Dayton, OH 45406-2716 | 2019-05-03 |
| 1528591724 | Charles Johnson | Counselor | 512 Sapphire St, Opelousas, LA 70570-3536 | 2017-04-05 |
| 1265976047 | Charles Johnson | Counselor | 1320 Harvard Ave, Shreveport, LA 71103-2521 | 2016-12-13 |
| 1831560390 | Charles James Johnson | Pharmacist | 300 W. 4th Street, Dequincy, LA 70633-3404 | 2015-10-09 |
| 1437538410 | Charles David Johnson | Nurse Practitioner | 417 Fruitland Park Rd, Wiggins, MS 39577-8312 | 2015-05-24 |
| 1598006827 | Charles Dustin Johnson | Counselor | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2013-03-12 |
| 1932444924 | Charles William Johnson | Family Medicine | 106 Ne Wood Glen Ln, Lees Summit, MO 64064-1508 | 2012-12-03 |
| 1063744571 | Charles Miller Johnson Jr. | Licensed Practical Nurse | 1020 Robinson Ave Apt 2, San Diego, CA 92103-4473 | 2010-02-08 |
| 1235333147 | Charles Johnson | Physical Therapy Assistant | 2104 Four Winds Dr, Cedar Falls, IA 50613-6435 | 2007-06-13 |
| Street Address |
830 AINSWORTH DRIVE |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639385644 | Russell Lanny Hunter | Dermatology | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2007-05-15 |
| 1629193644 | Deborah J. Pallett | Physician Assistant | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2007-03-20 |
| 1235227729 | Juliette M Mccaffrey | Physician Assistant | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2006-10-10 |
| 1497761332 | Sandra L Hutchison | Physician Assistant | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2006-07-31 |
| 1629099072 | Ray W. Johnson | Dermatology | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2006-07-21 |
| 1942234901 | Anthony E. Scardino Jr. | Dermatology | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093959744 | Joseph S Machuzak | Dermatology | 3101 Clearwater Dr Ste C, Prescott, AZ 86305 | 2009-04-25 |
| 1598784563 | Robin M Fleck | Dermatology | 242 Whipple Street, Prescott, AZ 86301-1787 | 2006-07-19 |
| 1265439335 | Richard Allen Cirelli | Dermatology | 955 Black Dr, Prescott, AZ 86305-1403 | 2005-07-05 |
| 1639173370 | Dean H Stokes | Dermatology | 830 Ainsworth Dr, Prescott, AZ 86301-1630 | 2005-06-10 |
| 1679774749 | Southwest Skin & Cancer Institute | Dermatology | 242 Whipple Street, Prescott, AZ 86301-1787 | 2007-05-29 |
| 1639385644 | Russell Lanny Hunter | Dermatology | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2007-05-15 |
| 1659467397 | Arizona Associates In Dermatology and Cosmetic Surgery, LLC | Dermatology | 830 Ainsworth Dr, Prescott, AZ 86301-1630 | 2006-10-04 |
| 1629099072 | Ray W. Johnson | Dermatology | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2006-07-21 |
| 1942234901 | Anthony E. Scardino Jr. | Dermatology | 830 Ainsworth Drive, Prescott, AZ 86301-1614 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559471 | Innovative Dermatology Alliance Az, PC | Dermatology | 390 Bralliar Rd, Wickenburg, AZ 85390 | 2020-05-11 |
| 1902427735 | Derma Healthcare Solutions Pllc | Dermatology | 4716 E Thunderbird Rd, Phoenix, AZ 85032-5541 | 2020-05-04 |
| 1598310559 | Avant Dermatology & Aesthetics Pllc | Dermatology | 8580 N Oracle Rd Ste 140, Oro Valley, AZ 85704-6512 | 2019-08-07 |
| 1982268504 | Melody Maarouf | Dermatology | 7165 N Pima Canyon Dr, Tucson, AZ 85718-1407 | 2019-04-29 |
| 1114485646 | Saguaro Dermatology Associates LLC | Dermatology | 3400 E Mcdowell Rd Fl 2, Phoenix, AZ 85008-3884 | 2019-03-04 |
| 1114405503 | Joshua Harrison | Dermatology | 13771 N Fountain Hills Blvd # 114-103, Fountain Hills, AZ 85268-3762 | 2018-07-30 |
| 1386133684 | Az Mobile Derm Inc | Dermatology | 6857 E Beverly Ln, Scottsdale, AZ 85254-1566 | 2018-05-02 |
| 1225533409 | Rcdc of Mesa Plc | Dermatology | 270 W Chandler Heights Rd Ste 4, Chandler, AZ 85248-5084 | 2018-03-28 |
| 1548779713 | Ryan Kirk Bingham | Dermatology | 2855 E Brown Rd Ste 22, Mesa, AZ 85213-4216 | 2017-09-20 |
| 1306369996 | Clear Sky Dermatology LLC | Dermatology | 14044 W Camelback Rd Ste 220, Litchfield Park, AZ 85340-9426 | 2017-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.