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

Dr. Doran S Mix, MD

Individual provider Physician Assistant · NPI 1750622726

Dr. Doran S Mix, MD is a Vascular Surgery in Rochester, New York. Qualified in 2013, 13 years ago. Practices with Vascular Surgery of the University, a 17-clinician group and accepts Medicare assignment. Licensed in Minnesota and New York.

Years since qualifying
13
Licensed in
MN, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Elmwood Ave Box 652
Rochester, NY 14642-0001
Phone: (585) 275-6772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 65742 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 280161 (NY)

Record details

NPI number1750622726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 15, 2013
Last updated in NPPESJuly 7, 2023
Certification dateOctober 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Vascular Surgery Of The University — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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