Individual Healthcare Provider
Julie Marie Wilson, D.O.
Provider's NPPES record last updated: October 16, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1093934267
- Primary Specialty
- Psychiatry & Neurology — Addiction Medicine
- Practice Location
- Grand Rapids, Michigan
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 7:07 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychiatry & Neurology
Addiction Medicine
Allopathic & Osteopathic Physicians
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Taxonomy code 2084A0401X Emergency Medicine
Emergency Medical Services
Allopathic & Osteopathic Physicians
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Taxonomy code 207PE0004X
Provider-Reported License Information
- Psychiatry & Neurology (Michigan)
- 5101015505
- Emergency Medicine (Michigan)
- 5101015505
Practice Locations
Practice Location
1179 E Paris Ave Se Ste 100
Grand Rapids, Michigan 49546-3682
Phone: (616) 400-5433
Record Information
- Enumeration Date
- April 25, 2007
- Provider's NPPES Record Last Updated
- October 16, 2024
- Certification Date
- October 16, 2024
- NPISignal NPPES Dataset
- August 2026
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