OrganizationActive
Ideal Option, PLLC
NPI 1508645235 · Clinic/Center · Baltimore, MD
Provider details
- NPI number
- 1508645235
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shannon Bowden, Contracting & Credentialing Manager(509) 570-9302
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
4128 Hayward Ave
Baltimore, MD 21215-4340
Phone: (877) 522-1275
Fax: (833) 888-7145
Street-level locationGet directions
Mailing address
500 Sw 7th St Ste A205
Renton, WA 98057-2983
Registry dates
- Enumerated
- 2023-09-22
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.