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DR. CHARLES PAUL SISCO M.D.
NPI 1124021639
Internal Medicine - Allergy & Immunology in Fayetteville, AR

Active since May 31, 2005
17994 HABBERTON RD, FAYETTEVILLE, AR 72703(479) 445-6550 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles Paul Sisco M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES PAUL SISCO M.D. (NPI 1124021639) is an individual allergy & immunology provider in Fayetteville, Arkansas, licensed in Arkansas (C4144) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1124021639
Entity TypeIndividualMale
Primary Taxonomy207RA0201X
Provider Legal NameDR. CHARLES PAUL SISCOCredential: M.D.
Location Address17994 HABBERTON RDFayetteville, AR 72703-9117
Mailing AddressPo Box 65Springdale, AR 72765-0065 · (479) 445-6550
Phone(479) 445-6550
Sole ProprietorYes
Enumeration DateMay 31, 2005
Last NPPES UpdateJuly 13, 2007
✔ NPI 1124021639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License✔ Licensed in AR · C4144
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
17994 HABBERTON RD, Fayetteville, AR 72703
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Sisco's NPI number?

The NPI number for Charles Sisco is 1124021639. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Charles Sisco located?

Charles Sisco practices at 17994 Habberton Rd, Fayetteville, AR 72703. The listed phone number is (479) 445-6550.

What is Charles Sisco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

When was this NPI record last updated?

The NPPES record for Charles Sisco was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.