Active NPI
Quad/Med, LLC
- Occupational Medicine Clinic/Center
- Mayville, WI
National Provider Identifier
1245940469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- QUAD/MED, LLC
- Practice address
- 715 South Street
Mayville, WI 53050-1810 - Phone
- (920) 387-6878
- NPI assigned
- Nov 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert L Poulsen
- Title
- Cfo
- Phone
- (414) 566-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | Primary |
Addresses
Primary practice location
715 South Street
Mayville, WI 53050-1810
Mailing address
W227N6103 Sussex Rd
Sussex, WI 53089-3969
Phone (414) 566-8400
National Provider Directory
National Provider Directory- Tax ID family
- Quad Med Managment LLC
Organizations with this tax ID in the same state 18
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Multi-Specialty Clinic/Center
- West Allis, WI
- NPI 1023488731
-
- Primary Care Clinic/Center
- Mayville, WI
- NPI 1083430995
-
- Primary Care Clinic/Center
- Sheboygan, WI
- NPI 1083575401
-
- Primary Care Clinic/Center
- West Bend, WI
- NPI 1134509599
-
- Dental Clinic/Center
- West Allis, WI
- NPI 1174089130
-
- Occupational Medicine Clinic/Center
- Beaver Dam, WI
- NPI 1235849456
-
- Clinic Pharmacy
- West Allis, WI
- NPI 1255439907
-
- Occupational Medicine Clinic/Center
- Neillsville, WI
- NPI 1295516805
-
- Occupational Medicine Clinic/Center
- Mayville, WI
- NPI 1316656705
-
- Primary Care Clinic/Center
- Mequon, WI
- NPI 1356771075
-
- Primary Care Clinic/Center
- West Bend, WI
- NPI 1386165918
-
- Primary Care Clinic/Center
- West Bend, WI
- NPI 1417773417
Locations
715 South St
Mayville, WI 53050
Phone (920) 387-6878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1245940469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W227N6103 SUSSEX RD",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893969",
"telephone_number": "414-566-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 SOUTH STREET",
"city": "MAYVILLE",
"state": "WI",
"postal_code": "530501810",
"telephone_number": "920-387-6878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUAD/MED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-29",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A",
"authorized_official_last_name": "POULSEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "414-566-8400"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.