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

Melvin Sisco, PA

Individual provider Physician Assistant · NPI 1669738431

Melvin Sisco, PA is a Physician Assistant in Oak Ridge, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

575 Oak Ridge Tpke Ste 120
Oak Ridge, TN 37830-7100
Phone: (865) 483-5678
Fax: (865) 483-4027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1103472 (TN)

Record details

NPI number1669738431
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 6, 2012
Last updated in NPPESApril 6, 2012
Mailing address575 Oak Ridge Tpke, Suite 120, Oak Ridge, TN 37830-7100

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