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

Dr. Timothy A Diller, MD

Individual provider Surgery Physician · NPI 1205899481

Dr. Timothy A Diller, MD is a Surgery Physician in Jacksonville, Arkansas. Licensed in Arkansas and Michigan. Registered with an NPI since 2006.

Licensed in
AR, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Braden St Emergency Dept
Jacksonville, AR 72076-3721
Phone: (501) 985-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301044283 (MI)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence T2007-006 (AR)

Record details

NPI number1205899481
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESJune 19, 2012
Mailing addressPo Box 3925, Shreveport, LA 71133-3925

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