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QUAD/MED, LLC
NPI 1356930135
Clinic/Center - Primary Care in Etna, OH

Active since January 15, 2021
10452 HAZELTON ETNA RD SW, ETNA, OH 43062(866) 639-3659 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2025, Feb 10, 2021, Jan 15, 2021 (3 updates tracked since 2021).

About Quad/med, Llc NPPES

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

QUAD/MED, LLC (NPI 1356930135) is a healthcare organization registered as a primary care in Etna, Ohio and active in the NPI registry since January 2021. The organization lists Robert L Poulsen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356930135
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameQUAD/MED, LLC
Location Address10452 HAZELTON ETNA RD SWEtna, OH 43062-3400
Mailing AddressW227n6103 Sussex RdSussex, WI 53089-3969 · (414) 566-8400
Phone(866) 639-3659
Organization SubpartNo
Authorized OfficialRobert L PoulsenCfo · (414) 566-8400
Enumeration DateJanuary 15, 2021
Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1356930135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
10452 HAZELTON ETNA RD SW, Etna, OH 43062
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Other Providers at the Same Location NPPES

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

CHRISTOPHER GANTT PA-C
Physician Assistant
10452 HAZELTON ETNA RD SW
ETNA, OH 43062
Licking County (866) 639-3659

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 Quad/Med, LLC's NPI number?

The NPI number for Quad/Med, LLC is 1356930135. It was assigned to this organization in the NPPES registry on January 15, 2021.

Where is Quad/Med, LLC located?

Quad/Med, LLC is located at 10452 Hazelton Etna Rd SW, Etna, OH 43062. The listed phone number is (866) 639-3659.

What is Quad/Med, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Quad/Med, LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.