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
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
Mailing addressPo Box 65, Springdale, AR 72765-0065