ANTHONY O AMIEWALAN MD, SC – NPI #1457367070
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

ANTHONY O AMIEWALAN MD, SC is a provider located in DECATUR, IL. NPPES has assigned the NPI number 1457367070 to ANTHONY O AMIEWALAN MD, SC on August 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The NPI data also shows multiple names associated with this provider such as ANTHONY AMIEWALAN MD SC and 2 other listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Obstetrics Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Mar 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANTHONY O AMIEWALAN MD, SC below.

NPI Profile for
ANTHONY O AMIEWALAN MD, SC

NPI Number
1457367070
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANTHONY O AMIEWALAN MD, SC
Other name(s)
All associated names:
Doing Business As (dba)
ANTHONY AMIEWALAN MD SC
Other Name
ANTHONY O AMIEWALAN
Doing Business As (dba)
VIVIAN WOMEN CENTER , INC
Primary location
2965 N MAIN ST STE A
DECATUR, IL 62526-4397
Phone: (217) 422-0560 Fax: (217) 422-0872
1 Other location(s):
2965 N Main St Ste A
Decatur, IL 62526-4397
Phone: (217) 422-0560 Ext: 1001
Fax: (217) 422-0872
Mailing address
Same as primary location
Organization Subpart
Yes - ANTHONY O AMIEWALAN MD, SC is subpart of another organization.
Authorized Official
GEORGIA AMIEWALAN
BUSINESS MANAGER
Phone: (217) 422-0560
Updated
Certification Date
Mar 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ANTHONY O AMIEWALAN MD, SC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIL036112019
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0000X
- Obstetrics & Gynecology / Obstetrics (Primary)		 IL 036112019
261QR1300X
- Clinic/Center / Rural Health
261QP2300X
- Clinic/Center / Primary Care
261Q00000X
- Clinic/Center
207VG0400X
- Obstetrics & Gynecology / Gynecology		 IL 036112019

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.