Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heidi L Boerman, PA-C, ATC

Individual provider Physician Assistant · NPI 1427048412

Heidi L Boerman, PA-C, ATC is a Physician Assistant in Fort Drum, New York. Licensed in Connecticut and Virginia. Registered with an NPI since 2005.

Licensed in
CT, VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Partly verified

Some contact details are missing from the federal record.

USA Meddac Attn: Credentials 11050 Mt Belvedere Blvd
Fort Drum, NY 13602-5004
Phone: (315) 772-4025
Fax: (315) 772-9498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110001442 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 001455 (CT)

Record details

NPI number1427048412
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedOctober 21, 2005
Last updated in NPPESJuly 13, 2026

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