OrganizationActive
Anthony O Amiewalan MD, Sc
NPI 1053543215 · Legal Medicine · Decatur, IL
Provider details
- NPI number
- 1053543215
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Amiewalan, Doctor(217) 422-0560
Specialties & taxonomies
Other Service Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2965 N Main St Ste a
Decatur, IL 62526-4397
Phone: (217) 422-0560
Fax: (217) 422-0872
Street-level locationGet directions
Mailing address
2665 North Main Street
Decatur, IL 62526-3803
Other names (DBA / former)
- Doing business as
- Anthony O Amiewalan MD Sc
- Doing business as
- Anthony O Amiewalan MD Sc
Registry dates
- Enumerated
- 2009-08-20
- Last updated
- 2025-03-27
- Certified
- 2025-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.