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

Hazel Ann M Doronila, PA

Individual provider Surgical Physician Assistant · NPI 1750661765

Hazel Ann M Doronila, PA is a Physician Assistant in Raleigh, North Carolina. Qualified in 2011, 15 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
15
Licensed in
NC, NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2800 Blue Ridge Rd Ste 201
Raleigh, NC 27607-6477
Phone: (919) 784-7110
Fax: (919) 784-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1425 Portland Ave, Rochester, NY 14621-3001 — (585) 922-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06898 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 015026 (NY)

Record details

NPI number1750661765
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 22, 2011
Last updated in NPPESJuly 21, 2022
Certification dateMay 26, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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