CLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC
NPI 1629549779
Internal Medicine - Addiction Medicine in Mechanicsville, VA

Q: What is Cleanslate Medical Group Of Virginia, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since December 16, 2018

8220 MEADOWBRIDGE RD STE 310, MECHANICSVILLE, VA 23116(804) 417-0120(804) 277-3029 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2024, Jul 2, 2019, Dec 16, 2018 (3 updates tracked since 2018).

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About Cleanslate Medical Group Of Virginia, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC (NPI 1629549779) is a healthcare organization registered as an addiction medicine in Mechanicsville, Virginia and active in the NPI registry since December 2018. The organization lists Matthew Philip Smolarek, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629549779

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameCLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC

Location Address8220 MEADOWBRIDGE RD STE 310Mechanicsville, VA 23116-2340

Mailing Address8 Cadillac Dr Ste 180Brentwood, TN 37027-5393 · (615) 425-0220

Phone(804) 417-0120

Fax(804) 277-3029

Organization SubpartNo

Authorized OfficialMatthew Philip SmolarekCfo · (412) 999-5188

Enumeration DateDecember 16, 2018

Last NPPES UpdateJuly 3, 20243 updates tracked since enumeration

NPPES CertifiedJuly 3, 2024

✔ NPI 1629549779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedInternal MedicineTaxonomy 207R00000X

8220 MEADOWBRIDGE RD STE 310, Mechanicsville, VA 23116

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT MATTHEWS MD

Preventive Medicine (Public Health & General Preventive Medicine)

8220 MEADOWBRIDGE RD STE 310
MECHANICSVILLE, VA 23116

Hanover County (804) 417-0120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cleanslate Medical Group Of Virginia, LLC's NPI number?

The NPI number for Cleanslate Medical Group Of Virginia, LLC is 1629549779. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Cleanslate Medical Group Of Virginia, LLC located?

Cleanslate Medical Group Of Virginia, LLC is located at 8220 Meadowbridge Rd Ste 310, Mechanicsville, VA 23116. The listed phone number is (804) 417-0120.

What is Cleanslate Medical Group Of Virginia, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Cleanslate Medical Group Of Virginia, LLC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.