Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tim Douglass

Organization Private Vehicle · NPI 1679960124

Tim Douglass is a Private Vehicle in Mount Vernon, Ohio. Licensed in Ohio. Registered with an NPI since 2015.

Licensed in
OH
In the registry since
2015

Practice location Address checks out

14060 Vincent Rd
Mount Vernon, OH 43050-8283
Phone: (740) 485-8529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Private Vehicle (primary) Taxonomy 347C00000X · Licence RP410135 (OH)

Record details

NPI number1679960124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Douglass — Driver · (740) 485-8529
NPI enumeratedApril 22, 2015
Last updated in NPPESApril 22, 2015
Mailing address14060 Vincent Rd, Mount Vernon, OH 43050-8283

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