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

NPI Status: Active since August 01, 2006

Contact Information

2965 N MAIN ST STE A
DECATUR, IL
ZIP 62526
Phone: (217) 422-0560
Fax: (217) 422-0872

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  • Organization
  • Obstetrics & Gynecology
  • Obstetrics

About ANTHONY O AMIEWALAN MD, SC

This page provides the complete NPI Profile along with additional information for Anthony O Amiewalan Md, Sc, a women's health care provider established in Decatur, Illinois operating as a Obstetrics & Gynecology, focusing in obstetrics . The healthcare provider is registered in the NPI registry with number 1457367070 assigned on August 2006. The practitioner's primary taxonomy code is 207VX0000X with license number 036112019 (IL). The provider is registered as an organization and their NPI record was last updated March 2025. Anthony O Amiewalan Md, Sc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mrs. Georgia M Amiewalan (Business Manager)

NPI
1457367070
Provider Legal Name
ANTHONY O AMIEWALAN MD, SC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2965 N MAIN ST STE A DECATUR, IL 62526
Location Phone
(217) 422-0560
Location Fax
(217) 422-0872
Mailing Address
2965 N MAIN ST STE A DECATUR, IL 62526
Mailing Phone
(217) 422-0560
Mailing Fax
(217) 422-0872
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-01-2006
Last Update Date
03-27-2025
Code Navigator

Women's health care providers like Anthony O Amiewalan Md, Sc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Secondary Locations

  • 2965 N Main St Ste A
    Decatur, IL 62526
    (217) 422-0560

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Obstetrics

Taxonomy Code
207VX0000X
Type
Allopathic & Osteopathic Physicians
License No.
036112019
License State
IL
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207VG0400XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Gynecology

036112019 (IL)
2207VG0400XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Gynecology

 
3261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
4261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 
5261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. GEORGIA M AMIEWALAN

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(217) 422-0560

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
036112019MEDICAID (05)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457367070
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241076614014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 6 + 6 + 1 + 4 + 0 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1457367070 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053543215ANTHONY O AMIEWALAN MD, SC
Organization
Legal Medicine2965 N MAIN ST STE A
DECATUR, IL 62526
(217) 422-0560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457367070, enumerated in the NPI registry as an "organization" on August 01, 2006

The provider is located at 2965 N Main St Ste A Decatur, Il 62526 and the phone number is (217) 422-0560

This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207VX0000X with a focus in Obstetrics

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.