CHARLES P. SISCO M.D. – NPI #1124021639
Internal Medicine

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.

CHARLES SISCO is a physician located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1124021639 to CHARLES SISCO on May 31, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RA0201X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Allergy & Immunology

The NPI profile was previously updated about 19 years ago on Jul 13, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES SISCO below.

NPI Profile for
CHARLES P. SISCO

NPI Number
1124021639
Enumeration Date

(more than 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES P. SISCO
Credentials
M.D.
Primary location
17994 HABBERTON RD
FAYETTEVILLE, AR 72703-9117
Phone: (479) 445-6550 Fax:
Mailing address
PO BOX 65
SPRINGDALE, AR 72765-0065
Phone: (479) 445-6550 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0201X
- Internal Medicine / Allergy & Immunology (Primary)
AR C4144

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.