Doctor profile · Federal record
Dr. Vickie Clennon, M.D.
Obstetrics & Gynecology Physician (CMS: Obstetrics/Gynecology) · Phoenix, AZ
- NPI 1578771952
- Accepts Medicare
- 23 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4212 N 16Th St
Phoenix, AZ 850165319
(602) 263-1200
fax (602) 263-1692 - Mailing address
-
Po Box 31001-0698
Pasadena, CA 911100698
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- May 3, 2019
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State license (1)
- Florida #ME94827
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578771952. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$45
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Hologic Sales and Service, LLC | 2 | $44.77 |
By nature of payment
Frequently asked questions
What is Dr. Vickie Clennon's medical specialty?
Dr. Vickie Clennon practices Obstetrics & Gynecology Physician in Phoenix, AZ.
Where does Dr. Vickie Clennon practice?
Dr. Vickie Clennon practices at 4212 N 16Th St, Phoenix, AZ 850165319. Office phone: 6022631200.
What is Dr. Vickie Clennon's NPI?
Dr. Vickie Clennon's National Provider Identifier (NPI) is 1578771952, issued by NPPES.
Does Dr. Vickie Clennon accept Medicare assignment?
Yes. Dr. Vickie Clennon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.