MEDICARE: CAMERON TUSKEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	0440931	KS
2	207L00000X	Anesthesiology Physician	2018013617	MO

General Provider Information

NPI Number	:	1376962738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON TUSKEN M.D.

Provider Business Mailing Address
First Line	:	29800 W 127TH ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-8636
Country	:	US
Telephone Number	:	913-405-7814
Fax Number	:

Provider Business Practice Location Address
First Line	:	1318 E 104TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4504
Country	:	US
Telephone Number	:	816-256-5200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2014
Last Update Date	:	05/02/2025

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Directions to “ CAMERON TUSKEN M.D.” Practice Location

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