INNOVATIVE VASCULAR PLLC NPI 1124750765

NPI Information

  • NPI: 1124750765
  • Provider Name: INNOVATIVE VASCULAR, PLLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 460 MEDICAL PARK DR STE 104
    LENOIR CITY, TN
    ZIP 37772
  • Phone: (865) 562-3232

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NPI Details

INNOVATIVE VASCULAR, PLLC is a vascular surgery surgery in Lenoir City, TN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. INNOVATIVE VASCULAR, PLLC NPI is 1124750765. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

460 MEDICAL PARK DR STE 104
LENOIR CITY, TN
ZIP 37772-782
Phone: (865) 562-3232

The provider's authorized official is Chris Pollock .
The authorized official title is Md and has the following contact phone number (865) 562-3232.

The enumeration date for this NPI number is 6/30/2022 and was last updated on 10/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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