Innovative Vascular, PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

INNOVATIVE VASCULAR, PLLC

Practice address

460 Medical Park Dr Ste 104
Lenoir City, TN 37772-5782

Phone

(865) 562-3232

NPI assigned

Jun 30, 2022

Last updated

Sep 26, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Underwood

Title

VP Treasurer

Phone

(817) 948-3428

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Apex Vascular Outpatient Center

  • Ambulatory Surgical Clinic/Center
  • Lenoir City, TN
  • NPI 1467216457

  Member Of

  NPD member

Locations

Interoperability endpoints

• Direct secure messaging: amberridner@ivpllc.allscriptsdirect.net
• Direct secure messaging: christopherpollock@ivpllc.allscriptsdirect.net

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher W. Pollock, M.D.

  • Vascular Surgery Physician
  • Knoxville, TN
  • NPI 1306953260
  Medicare reassignment Care Compare group NPD
• Amber Lea Ridner, FNP-BC

  • Family Nurse Practitioner
  • Lenoir City, TN
  • NPI 1285943423
  Medicare reassignment Care Compare group NPD
• Umashankar K Ballehaninna, M.D

  • Vascular Surgery Physician
  • Sayre, PA
  • NPI 1578721767

  TN

  Medicare reassignment Care Compare group NPD
• David W Drum, PA-C

  • Physician Assistant
  • Oak Ridge, TN
  • NPI 1942286935
  Medicare reassignment Care Compare group
• Matthew Sean Scanlon, PA-C

  • Physician Assistant
  • Lenoir City, TN
  • NPI 1942170378
  Medicare reassignment Care Compare group
• Heather McCoy Hutchings, DO

  • Internal Medicine Physician
  • Lenoir City, TN
  • NPI 1134231756
  Medicare reassignment NPD
• George Michael Lodeiro, MD

  • Vascular Surgery Physician
  • Lenoir City, TN
  • NPI 1184150930
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790380800000",
    "number": "1124750765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 OAKLEIGH WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR STE 104",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-562-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE VASCULAR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP TREASURER",
        "authorized_official_telephone_number": "817-948-3428"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Ali A Hussaini, MD
• Heather McCoy Hutchings, DO
• Jonathan Hutchings, D.O.
• Independent Physical Therapy LLC
• Ingles Markets Inc (Ingles Pharmacy #071)
• Jennifer Marie Isaacs
• Ivan N Cooper, DPM, PC
• Jodi Lynn Jagodzinski, PT
• Aliyah Jenkins
• Janice Teague Jenkins, FNP

• Vascular Surgery Physician in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Vascular Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.