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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEIDI BORUCKI, PA-C

Active

HEIDI BORUCKI, PA-C is a Physician Assistant healthcare provider located in OREGON, Ohio. NPI 1568900678 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OREGON, OH

Registration Details

NPI Number
1568900678
Provider Type
Individual
Gender
Female
NPI Issued
Feb 9, 2017 (9.3277119057165 yrs)
Last Updated
Nov 3, 2023
Licenses
5601008128 (MI)
50.006491RX (OH)

Practice Information

Address
2751 BAY PARK DR STE 201
OREGON, OH, 436164922
Browse OH providers · Browse ZIP 43616
Phone
4196908811
Fax
4196976750
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in OREGON, OH

Name Credential NPI
NATALIE DENNEN ATC, PA-C 1043273998
EVANGELINE M TAYLOR PA-C 1013097328
NATHAN S HAUPRICHT PA 1598913956
MARK MCCOMBS M.D. 1093944696
NICOLE LEIGH NIESE PA-C 1023419504
MICHELLE BASSIOUNI PA-C 1689031445
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.