OrganizationActive
Quad/Med, LLC
NPI 1356930135 · Primary Care Clinic/Center · Etna, OH
Provider details
- NPI number
- 1356930135
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Poulsen, Cfo(414) 566-8400
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
10452 Hazelton Etna Rd Sw
Etna, OH 43062-3400
Phone: (866) 639-3659
Street-level locationGet directions
Mailing address
W227n6103 Sussex Rd
Sussex, WI 53089-3969
Registry dates
- Enumerated
- 2021-01-15
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.