OrganizationActive
Pioneer Health Group LLC
NPI 1023691599 · Addiction Medicine (Family Medicine) Physician · Louisa, KY
Provider details
- NPI number
- 1023691599
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pioneer Health Group, LLC
- Organization subpart
- Yes
- Authorized official
- Victor Orlov, Director of Credentialing(606) 638-0938
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
125 S Main Cross St
Louisa, KY 41230-1065
Phone: (606) 639-0938
Fax: (859) 813-5394
Approximate (ZIP-level) locationGet directions
Mailing address
125 S Main Cross St
Louisa, KY 41230-1065
Registry dates
- Enumerated
- 2021-05-03
- Last updated
- 2021-05-03
- Certified
- 2021-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.