OrganizationActive
Baltimore Ketamine Clinic Eastern Shore
NPI 1366171720 · Clinic/Center · Salisbury, MD
Baltimore Ketamine Clinic Eastern Shore is a Clinic/Center organization in Salisbury, MD (NPI 1366171720).
Provider details
- NPI number
- 1366171720
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ivana Mitic, Owner(713) 412-3462
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
2324 N Zion Rd Ste 113
Salisbury, MD 21801-2576
Phone: (410) 870-5482
Fax: (410) 628-1212
Street-level locationGet directions
Mailing address
2324 N Zion Rd Ste 113
Salisbury, MD 21801-2576
Registry dates
- Enumerated
- 2022-06-09
- Last updated
- 2023-02-17
- Certified
- 2023-02-17
Frequently asked questions
- What is Baltimore Ketamine Clinic Eastern Shore's NPI number?
- Baltimore Ketamine Clinic Eastern Shore's National Provider Identifier (NPI) is 1366171720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Baltimore Ketamine Clinic Eastern Shore?
- Baltimore Ketamine Clinic Eastern Shore is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Baltimore Ketamine Clinic Eastern Shore located?
- Baltimore Ketamine Clinic Eastern Shore's practice location on file with NPPES is 2324 N Zion Rd Ste 113, Salisbury, MD 21801-2576.
- What is Baltimore Ketamine Clinic Eastern Shore's phone number?
- The practice phone number listed in the NPPES registry for Baltimore Ketamine Clinic Eastern Shore is (410) 870-5482.
- Who is the authorized official for Baltimore Ketamine Clinic Eastern Shore?
- The authorized official listed on Baltimore Ketamine Clinic Eastern Shore's NPPES record is Ivana Mitic, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Baltimore Ketamine Clinic Eastern Shore's NPI active?
- Yes — Baltimore Ketamine Clinic Eastern Shore's NPI (1366171720) is active in the NPPES registry as of the last update on 2023-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.