Quad/Med, LLC
Quad/Med, LLC is a healthcare organization registered as Dental Clinic/Center in West Allis, WI, holding Type 2 (organization) NPI 1174089130 since 2019. The authorized official on file is Robert Poulsen, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174089130 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Quad/Med, LLC |
| Other name | <Unavail> |
| Practice address | 555 S 108TH ST, West Allis, WI, 53214 |
| Phone | 4145663725 |
| Fax | 4145663900 |
| Enumeration date | 2019-02-14 |
| Last updated in NPPES | 2025-07-14 |
Authorized official
| Name | Robert Poulsen |
|---|---|
| Title | Cfo |
| Phone | 4145668400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center | Secondary | — | — |
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Quad/Med, LLC NPI: 1174089130 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 555 S 108TH ST, West Allis, WI, 53214
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295702140 | Cynthia Mason | Individual | Family Medicine Physician | West Allis, WI |
| 1992772701 | Raymond Zastrow | Individual | Family Medicine Physician | West Allis, WI |
| 1780651604 | R. Kevin Kennelly | Individual | Family Medicine Physician | West Allis, WI |
| 1528035383 | Ann Merkow | Individual | Internal Medicine Physician | West Allis, WI |
| 1003883760 | Lisa Stukenberg | Individual | Pediatrics Physician | West Allis, WI |
| 1821065582 | Dennis Schultz | Individual | Occupational Medicine Physician | West Allis, WI |
| 1144297722 | Kathy Osterhaus-Kegel | Individual | Physician Assistant | West Allis, WI |
| 1235106824 | Jeffery Braun | Individual | Optometrist | West Allis, WI |
Verify this record
Cross-check NPI 1174089130 against the authoritative CMS record: view Quad/Med, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Quad/Med, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-14.