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ANTHONY O AMIEWALAN MD, SC
NPI 1457367070
Obstetrics & Gynecology - Obstetrics in Decatur, IL

Active since August 01, 2006
2965 N MAIN ST STE A, DECATUR, IL 62526(217) 422-0560(217) 422-0872 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2026, Mar 27, 2025 (2 updates tracked since 2025).

About Anthony O Amiewalan Md, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY O AMIEWALAN MD, SC (NPI 1457367070), doing business as Anthony Amiewalan Md Sc, is a healthcare organization registered as an obstetrics in Decatur, Illinois and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Decatur and lists Georgia M Amiewalan, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1457367070
Entity TypeOrganization
Primary Taxonomy207VX0000X
Legal Business NameANTHONY O AMIEWALAN MD, SC
Location Address2965 N MAIN ST STE ADecatur, IL 62526-4397
Mailing Address2965 N Main St Ste ADecatur, IL 62526-4397 · (217) 422-0560 · Fax (217) 422-0872
Phone(217) 422-0560
Fax(217) 422-0872
Organization SubpartYesParent: Vivian Womens Center, Inc
Authorized OfficialGeorgia M AmiewalanBusiness Manager · (217) 422-0560
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1457367070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in IL · 036112019
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 036112019 (IL)
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
2965 N MAIN ST STE A, Decatur, IL 62526
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Other Names 3

Doing Business AsAnthony Amiewalan Md Sc
Doing Business AsVivian Women Center , Inc
Other NameAnthony O Amiewalan

Secondary Practice Location 1

Location 12965 N Main St Ste ADecatur, IL 62526-4397 · Phone (217) 422-0560 ext. 1001 · Fax (217) 422-0872

Other Identifiers 1

Medicaid036112019IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY O AMIEWALAN MD, SC
Legal Medicine
2965 N MAIN ST STE A
DECATUR, IL 62526
Macon County (217) 422-0560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony O Amiewalan MD, Sc's NPI number?

The NPI number for Anthony O Amiewalan MD, Sc is 1457367070. It was assigned to this organization in the NPPES registry on August 1, 2006. The provider is doing business as Anthony Amiewalan MD Sc and Vivian Women Center , Inc. The provider is also known as Anthony O Amiewalan.

Where is Anthony O Amiewalan MD, Sc located?

Anthony O Amiewalan MD, Sc is located at 2965 N Main St Ste A, Decatur, IL 62526. The listed phone number is (217) 422-0560.

What is Anthony O Amiewalan MD, Sc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

When was this NPI record last updated?

The NPPES record for Anthony O Amiewalan MD, Sc was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.