Individual provider Active NPI

Tatyana N Kuvshinikov, PA-C

  • Physician Assistant
  • Ashtabula, OH
National Provider Identifier
1467712455
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006454RX Issued in OH
Practice address
417 W Prospect Rd
Ashtabula, OH 44004-5862
Phone
(440) 381-8520
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055473 PA
Physician Assistant 363A00000X 50.006454RX OH Primary
Physician Assistant 363A00000X OA002842 PA

Addresses

Primary practice location

417 W Prospect Rd
Ashtabula, OH 44004-5862

Mailing address

417 W Prospect Rd
Ashtabula, OH 44004-5862
Phone (440) 381-8520

Other names 1

  • Tatyana N Bovkun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120606000598 PA Practitioner - Physician Assistant 3779747555 Reassigns benefits to 1 organization
I20231026004123 OH Practitioner - Physician Assistant 3779747555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

3315 N Ridge Rd E
Suite 700a
Ashtabula, OH 44004-4300
Phone (440) 484-2130

3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810

5901 E Royalton Rd
Suite 1400B
Broadview Heights, OH 44147-3532
Phone (440) 499-5900

6270 N Ridge Rd
Suite 700
Madison, OH 44057-2567
Phone (440) 210-4205

6836 Ridge Rd
Parma, OH 44129-5627
Phone (216) 490-1120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.006454RXOHMDPhysician Assistant
MA055473PAMDPhysician Assistant
OA002842PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Urgent Care, LLC CurrentSince Oct 30, 2023 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Oct 30, 2023 Accepting new patients
Prospect Urgent Care LLC PastSince Jan 1, 2020 Accepting new patients

Locations

3315 N Ridge Rd E
Ste 700A
Ashtabula, OH 44004
Phone (440) 484-2130

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

Interoperability endpoints

  • Direct secure messaging: tkuvshinikov593747@ehrdirect.uhhospitals.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1467712455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W PROSPECT RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045862",
            "telephone_number": "440-381-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W PROSPECT RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045862",
            "telephone_number": "440-381-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUVSHINIKOV",
        "first_name": "TATYANA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055473",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006454RX",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATYANA",
            "last_name": "BOVKUN",
            "middle_name": "N",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.