EDWIN W. MCCAMMACK (PA) – Medical Physician Assistant, NPI 1790792562

EDWIN W. MCCAMMACK (PA) is a healthcare provider. based in Champaign, Illinois. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. 085-000055 (IL). The NPI Number for EDWIN W. MCCAMMACK (PA) is 1790792562

Main info

Male
Name
EDWIN W. MCCAMMACK (PA)
NPI
1790792562
Phone
(217) 366-8107
Address
101 W UNIVERSITY AVE
Enumeration Date
2 August 2006
Last Update Date
5 March 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for EDWIN W. MCCAMMACK (PA)

  • 101, West University Avenue, Champaign, Champaign County, Illinois, 61820, United States

    CHAMPAIGN, IL 618203909

    Phone: (217) 366-8107

    Fax: (217) 366-6106

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61820)

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Reviews

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Frequently asked questions

Can I cross-check EDWIN W. MCCAMMACK (PA) using NPI 1790792562?
NPI 1790792562 belongs to EDWIN W. MCCAMMACK (PA); compare other details if you need extra assurance.
Is EDWIN W. MCCAMMACK (PA) still an active registrant?
EDWIN W. MCCAMMACK (PA) carries an active NPI according to the public dataset.
What area of care is associated with EDWIN W. MCCAMMACK (PA)?
EDWIN W. MCCAMMACK (PA)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is EDWIN W. MCCAMMACK (PA) located near Champaign?
EDWIN W. MCCAMMACK (PA) currently maps to Champaign, Illinois in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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