Founded in 2011 by board-certified dermatologist Dr. Jorge Garcia-Zuazaga, Apex Skin is a physician-led dermatology practice and one of the largest skin care organizations in Northeast Ohio. What began as a single-location clinic has grown into a multi-site network with 15 locations serving patients across the Cleveland area.
Under Dr. Garcia-Zuazaga’s leadership, Apex Skin has expanded with a focus on high-quality dermatologic care, clinical innovation, and a patient-centered approach. Today, the organization cares for tens of thousands of patients each month. It is recognized as the largest minority-owned dermatology practice in Cleveland, reflecting a commitment to accessible care, inclusive growth, and strong physician leadership.
Jorge Garcia-Zuazaga, MD
Founder and CEO
Shannon McKeen, DO
Medical Director
Zach Hotaling
Chief Financial Officer
Doston Jones
Chief Administrative and Legal Officer
Ruth Barnum
Vice President of Marketing and Aesthetics
Jeff Ferencic
Vice President of Operations
Theresa Sedlak-Hanslik
Vice President of Research Operations at Apex Clinical Research Center
Jorge Garcia-Zuazaga, MD
Founder and CEO
Dr. Jorge Garcia-Zuazaga is a physician-executive, entrepreneur, and founder known for building and leading high-performing healthcare organizations at the intersection of clinical care, research, and business strategy. As Founder and CEO of Apex Skin and Apex Clinical Research Center, he has built and scaled a multi-site dermatology and research platform spanning 15 locations and serving tens of thousands of patient visits each month across Northeast Ohio. Today, Apex Skin is Cleveland’s largest minority-owned dermatology organization, reflecting his commitment to inclusive growth and sustainable leadership.
Board-certified in dermatology and fellowship-trained in Mohs surgery, Dr. Garcia-Zuazaga brings deep clinical credibility to his executive role. He also holds an MBA, equipping him with the strategic and operational perspective needed to guide organizational growth, physician development, and innovation in an increasingly complex healthcare environment. His entrepreneurial approach is centered on building scalable systems, developing leaders, and creating organizations designed to thrive through change.
He is known for a leadership style grounded in mentorship, accountability, and long-term vision. Dr. Garcia-Zuazaga has served in multiple national leadership roles within organized medicine and remains actively engaged in advancing clinical research, education, and physician leadership development. His ability to translate real-world challenges into practical, scalable solutions has earned him the respect of peers and emerging leaders alike.
Earlier in his career, Dr. Garcia-Zuazaga served as a U.S. Navy flight surgeon, an experience that helped shape his disciplined, mission-driven approach to leadership and teamwork.
Today, he is focused on building an integrated dermatology platform centered on innovation, clinical research, and next-generation care models, with an emphasis on technology-enabled care and scalable physician leadership.
Shannon McKeen, DO
Medical Director
Dr. Shannon McKeen serves as Medical Director of Apex Skin, where she provides clinical leadership, medical oversight, and strategic guidance to ensure the highest standards of dermatologic care, safety, and evidence-based practice across the organization. In this role, she partners closely with clinical teams and leadership to align medical excellence with patient-centered innovation.
Originally from South Bend, Indiana, Dr. McKeen began her academic career at Ball State University, where she earned a Bachelor of Science in Chemistry with a double major in Pre-Medical Preparation. During her undergraduate years, she was recognized for both Excellence in Undergraduate Teaching and Performance in Chemistry, reflecting her early commitment to academic rigor and mentorship.
Dr. McKeen earned her Doctor of Osteopathic Medicine degree from Lake Erie College of Osteopathic Medicine, graduating with distinction as one of only two students in her class to receive the Academic Achievement Award. She completed her clinical training at University Hospitals Richmond Medical Center, where she remained to complete a Dermatology-focused Traditional Rotating Internship.
She went on to complete her Dermatology residency at Lakeland Health in Saint Joseph, Michigan, where she was appointed Chief Resident. Following residency, Dr. McKeen became board-certified by the American Osteopathic Board of Dermatology and earned Fellowship status with the American College of Osteopathic Dermatology.
As Medical Director, Dr. McKeen brings deep clinical expertise, academic excellence, and a collaborative leadership style to Apex Skin. Her background in dermatology, commitment to continuous improvement, and passion for advancing patient outcomes make her a trusted leader within the organization and the broader dermatologic community.
Zach Hotaling
Chief Financial Officer
Zach is an experienced Finance Executive with a passion for leading organizations through periods of dynamic growth and change. With more than a decade of experience in the healthcare industry, Zach has built a career at the intersection of finance, growth strategy, and organizational transformation.
Before joining Apex Skin, Zach served as the CFO of a national, private equity-backed behavioral health platform, where he oversaw financial operations and helped guide the company through significant expansion. Earlier in his career, he held roles across Finance, M&A, and Corporate Strategy in both public companies and private equity backed organizations.
Zach is known for combining analytical rigor with a collaborative leadership style, enabling teams to execute with clarity and achieve sustainable results.
Zach lives in Twinsburg, Ohio, with his wife and two children. Outside of work, he enjoys spending time with friends and family and is an avid football fan.
Doston Jones
Chief Administrative and Legal Officer
Doston Jones serves as Chief Administrative and Legal Officer at Apex Skin, where he provides executive oversight of the organization’s legal, compliance, Human Resources, privacy, and facilities functions. He partners closely with executive leadership to manage risk, strengthen operational infrastructure, and support the organization’s continued growth in a highly regulated healthcare environment.
Doston is a healthcare attorney with nearly 20 years of experience advising health systems, government agencies, and private organizations on regulatory compliance, employment matters, data privacy, and corporate governance. Before joining Apex Skin, he held senior legal and compliance leadership roles at Akron Children’s Hospital and served as Chief Legal and Compliance Officer for a multi-state behavioral health system.
In addition to his legal career, Doston served as a firefighter-paramedic with the Cleveland Division of Fire, an experience that continues to shape his service-oriented leadership approach.
Outside of work, he enjoys outdoor cooking, spending time with his wife and two daughters, and staying active in his community.
Ruth Barnum
Vice President of Marketing and Aesthetics
Since joining Apex Skin in 2018, Ruth has been a key driver of the organization’s growth from five offices to fifteen locations, delivering sustained double-digit growth and establishing Apex Skin as the most recognized and trusted dermatology brand in the region.
Ruth oversees enterprise initiatives, including brand strategy, customer segmentation, patient experience, and AI-driven visibility, with a focus on building scalable systems and aligning innovation with exceptional patient care. She leads a high-performing marketing organization executing an integrated, omni-channel growth strategy across digital, community, B2B, direct-to-consumer, and traditional channels.
Most recently, Ruth assumed leadership of the aesthetics vertical, positioning it as a core component of comprehensive skin health and a significant growth engine through sales pipeline development, operational optimization, and elevated patient experience.
She is deeply committed to developing people and empowering her team to lead with impact.
Ruth holds a Bachelor of Science in Marketing Management from the University of Akron and was a Division I collegiate swimmer. She is a Lean Six Sigma Black Belt, Vice President of the Hudson Chamber of Commerce, serves on multiple nonprofit boards, and has been recognized with the Woman You Should Know and Smart Woman awards.
Jeff Ferencic
Vice President of Operations
Jeff Ferencic serves as Vice President of Operations at Apex Skin, bringing more than 20 years of progressive leadership experience across medical and retail healthcare environments. In his role, Jeff provides strategic and operational oversight for multi-site clinical operations, with a focus on optimizing workflows, enhancing the patient experience, and driving scalable, sustainable growth across the organization.
Throughout his career, Jeff has built a strong reputation for successfully scaling complex healthcare operations while maintaining high standards of quality, safety, and compliance. He has led initiatives to strengthen regulatory adherence, improve operational efficiency, and standardize best practices across diverse clinical settings. His expertise in Lean principles and process optimization has resulted in measurable improvements in performance, staff engagement, and patient satisfaction.
Jeff is known for his collaborative leadership style and his ability to align operational strategy with clinical excellence. He works closely with physicians, providers, and administrative teams to ensure operational systems effectively support patient care delivery while enabling long-term organizational success. He holds a background in Business Management from Cleveland State University and remains deeply committed to operational excellence that empowers teams and elevates the patient experience.
Theresa Sedlak-Hanslik
Vice President of Research Operations at Apex Clinical Research Center
Theresa serves as Vice President of Research Operations at Apex Clinical Research Center, bringing several decades of clinical research leadership and business acumen to the Research Site. In her role, Theresa collaborates with Dr. Jorge Garcia-Zuazaga to integrate dermatology clinical research into the Apex Skin enterprise, growing from 1-2 employees to dozens of experienced and developing professionals in just a few short years.
Throughout her career, Theresa has blended the personal connection with the ‘work’ duties. Customer service expands to all “customers”, from our patients to our industry stakeholders. She believes that the ‘big picture’ should always reflect quality relationships and mutual respect. Quality data and commitments met are paramount to ensuring all customers receive top-notch care.
With a passion for leading and developing professional teams, Theresa champions her collaborative leadership style and her ability to align the personal touch to ensure successful growth. She holds a Bachelor of Science in Nursing from Kent State University and remains deeply committed to patient safety and quality metrics for our pharmaceutical partners.
Theresa is a lifelong Clevelander and enjoys time with family (most important job of all), outdoors in nature, and reading with the goal of “learning something new every day”.
Leading with Purpose
At Apex Skin, our leadership team is united by a shared commitment to "Transform Lives Through Healthy Skin" through clinical excellence, innovation, and patient-centered care. Guided by diverse expertise and a passion for advancing dermatology, we are dedicated to delivering exceptional outcomes for every patient, every day. As we continue to grow and evolve, our focus remains on building a healthier, more inclusive future for the communities we serve across Northeast Ohio.
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