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

Heidi Borucki, PA-C

Individual provider Physician Assistant · NPI 1568900678

Heidi Borucki, PA-C is a Physician Assistant in Oregon, Ohio. Qualified in 2016, 10 years ago. Practices with Promedica Central Physicians, a 784-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
10
Licensed in
MI, OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2751 Bay Park Dr Ste 201
Oregon, OH 43616-4922
Phone: (419) 690-8811
Fax: (419) 697-6750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 770 Riverside Ave, Adrian, MI 49221-1476 — (517) 265-0650

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006491RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 5601008128 (MI)

Record details

NPI number1568900678
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2017
Last updated in NPPESNovember 3, 2023
Certification dateAugust 28, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Oregon