Gwyn Elann King, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34.010052 Issued in OH

Practice address

7249 Liberty Way Ste 100
West Chester, OH 45069-1518

Phone

(513) 770-3263

Fax

(937) 293-5568

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Gwyn Elann Frambach Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Ohio University, College of Osteopathic Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Skin Care AssociatesGroup PAC ID 0244365260, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology & Skin Care Associates

  • Dermatology Physician
  • West Chester, OH
  • NPI 1033444997
  Medicare reassignment Care Compare group NPD
• Dayton Skin Surgery Center Inc

  • MOHS-Micrographic Surgery Physician
  • Dayton, OH
  • NPI 1710932454
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1659569382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7249 LIBERTY WAY STE 100",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691518",
            "telephone_number": "513-770-3263",
            "fax_number": "937-293-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7249 LIBERTY WAY STE 100",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691518",
            "telephone_number": "513-770-3263",
            "fax_number": "937-293-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "GWYN",
        "middle_name": "ELANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.010052",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "249624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659569382",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWYN",
            "last_name": "FRAMBACH",
            "middle_name": "ELANN",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chandler Holdren Khoury, MASTERS
• Fred Kibuukamusoke
• Emily Victoria Kim, MD
• Karissa Y Kim, PHARMD
• Abigail King, C-N.P.
• Isabella King
• Marissa A King
• Sarah King, MPT
• Shelly Elaine King, .008842
• Faith Kingsley

• Dermatology Physician in West Chester, OH
• Providers in West Chester, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.