OrganizationActive
Cleanslate Medical Group of Ohio LLC
NPI 1558800193 · Addiction Medicine (Internal Medicine) Physician · Moraine, OH
Provider details
- NPI number
- 1558800193
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Smolarek, Cfo(412) 999-5188
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
4700 Springboro Pike Ste C
Moraine, OH 45439-1982
Phone: (937) 558-5100
Fax: (833) 279-7074
Approximate (ZIP-level) locationGet directions
Mailing address
8 Cadillac Dr Ste 300
Brentwood, TN 37027-5337
Registry dates
- Enumerated
- 2017-02-15
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.