# PARAGON GERIATRIC ASSOCIATES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093382467
- **Authorized official:** REBECCA A VERNIER (OFFICE MANAGER)
- **Authorized official phone:** (405) 289-0483

## Contact information

- **Practice address:** 15112 TRADITIONS BLVD STE A, EDMOND, OK 73013-1182
- **Practice address phone:** (405) 289-0483
- **Practice address fax:** (405) 266-6609
- **Mailing address:** 15112 TRADITIONS BLVD STE A, EDMOND, OK 73013-1182
- **Mailing address phone:** (405) 289-0483
- **Mailing address fax:** (405) 266-6609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2021
- **Last updated:** 09/18/2026