Meet our team

Thoughtful Care, Rooted in Expertise.

At SkinWise, every member of our care team shares the same commitment: take the time to listen, explain what we see, and make sure you leave with a plan you understand.

SkinWise is a direct-care practice—we don’t contract with insurance companies. You can skip referrals and long waits for appointments. We make it easy to get care when you need it, with clear pricing and visits that match your concern—quick and efficient for simple issues, more in-depth when needed.

Dr. Joni Sago, MD and Diana Ramirez, PA-C
"I founded SkinWise to return to the heart of medicine: the relationship between doctor and patient."

— Dr. Joni Sago

Dr. Joni Sago, board-certified dermatologist and founder of SkinWise Dermatology

Dermatologist & Founder

Dr. Joni Sago, MD

Dr. Joni Sago has been caring for patients in the Tri-Cities for over 22 years. A graduate of Johns Hopkins School of Medicine with residency training at Duke University Hospital, she specialized in internal medicine and dermatology—a unique combination that gives her a deeper understanding of how skin health connects to overall health.

After decades in traditional practice, she gained a deep understanding of what patients needed most: clear answers, respectful listening, and care that feels personal rather than rushed. She founded SkinWise to create a practice centered on thoughtful care, meaningful conversations, and patient understanding.

Johns Hopkins University
Duke University

Education & Training

Academic Background

Medical School

Johns Hopkins School of Medicine

Undergraduate

Baylor University

Residency Training

Institution

Duke University Hospital

Internal Medicine

Dermatology

Board-Certified

Certified by the American Board of Dermatology.

ABD

Dermatology

PHYSICIAN ASSISTANT

Diana K. Ramirez, PA-C

Diana is a board-certified Physician Assistant who brings a comprehensive clinical perspective to each patient encounter. She shares Dr. Sago’s commitment to patient-centered, education-focused care, taking the time to listen attentively, clearly explain her clinical findings, and ensure every patient leaves with a well-understood plan for their care. She is recognized for delivering thoughtful, high-quality care grounded in clinical excellence and a strong commitment to patient education and outcomes.

¿Hablas español? Diana ofrece consultas médicas en español, eliminando la barrera del idioma que en ocasiones limita el acceso de nuestra comunidad al cuidado dermatológico. Su compromiso es brindar atención personalizada, accesible y centrada en las necesidades de cada paciente orientada a ofrecer la más alta calidad en el cuidado de la piel.

Credentials & Experience

Undergraduate

University of South Florida

Board certifications

NCCPA (Physician Assistant)

MS, Physician Assistant Studies

Milligan University

Languages

English, Spanish

Clinical experience

Emergency Medicine

Dermatology

Wound Care

Diana Ramirez, PA-C, physician assistant at SkinWise Dermatology
"Se habla español!"

"Medicine the way it should be: 
responsive, honest, and built around you."

Tiered Visits

Visits are designed to fit the problem—focused when simple, more in-depth when needed

Clear Communication​

Direct access to your provider, not a call center. Answers when you need them.

Personal Care

A practice centered on thoughtful care and meaningful relationships, not insurance codes.

Ready for the SkinWise Experience?

New and returning patients are welcome. Schedule online or call us—we’re happy to answer questions first.