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

Dr. Charles Paul Sisco, MD

Individual provider Allergy & Immunology (Internal Medicine) Physician · NPI 1124021639

Dr. Charles Paul Sisco, MD is an Allergy & Immunology (Internal Medicine) Physician in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

17994 Habberton Rd
Fayetteville, AR 72703-9117 Not confirmed with CMS for 19 years — call before visiting
Phone: (479) 445-6550
Show map & directions

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

Specialties & licences

Allergy & Immunology (Internal Medicine) Physician (primary) Taxonomy 207RA0201X · Licence C4144 (AR)

Record details

NPI number1124021639
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2005
Last updated in NPPESJuly 13, 2007