Quad/Med, LLC
Organization Active NPI Primary Care Clinic/Center · Etna, OH
NPI 1356930135 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1356930135
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- QUAD/MED, LLC
- Practice address
- 10452 Hazelton Etna Rd SW
Etna, OH 43062-3400 - Phone
- (866) 639-3659
- NPI assigned
- Jan 15, 2021
- Organization subpart
- No
Authorized official
- Name
- Robert L Poulsen
- Title
- Cfo
- Phone
- (414) 566-8400
Corporate family (same tax ID) 3
Practitioners 1
-
Christopher Gantt, PA-C
National Provider Directory
- Tax ID family
- Quad Med Managment LLC
Locations
10452 Hazelton Etna Rd SW
Etna, OH 43062
Phone (866) 639-3659
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
10452 Hazelton Etna Rd SW
Etna, OH 43062-3400
Mailing address
W227N6103 Sussex Rd
Sussex, WI 53089-3969
Phone (414) 566-8400
Other providers in Etna, OH
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- Linda D Osborne
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- Todd Thomas Park
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- Douglas M Reckner
- Hannah Marie Rogers
- Rulex Medical Transportation
- Shelley Marie Schaner
- Victoria Sekou-Mamadou
All providers in Etna, OH · Primary Care Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.