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

Paragon Geriatric Associates, LLC

Organization Dermatology Physician · NPI 1093382467

Paragon Geriatric Associates, LLC is a Dermatology Physician in Edmond, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15112 Traditions Blvd Ste A
Edmond, OK 73013-1182
Phone: (405) 289-0483
Fax: (405) 266-6609
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1093382467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Vernier — Office Manager · (405) 289-0483
NPI enumeratedJune 5, 2021
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address15112 Traditions Blvd Ste A, Edmond, OK 73013-1182

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