Individual provider Active NPI

Kathleen Michele Dorcey Lafavor, D.O.

  • Gynecology Physician
  • Sioux City, IA
National Provider Identifier
1760607394
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
4075 Issued in IA
Practice address
1000 Jackson St
Sioux City, IA 51105-1431
Phone
(712) 252-0501
Fax
(712) 252-2024
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 5481 NE
Gynecology Physician 207VG0400X 5481 NE
Gynecology Physician 207VG0400X 4075 IA Primary

Addresses

Primary practice location

1000 Jackson St
Sioux City, IA 51105-1431

Mailing address

1000 Jackson St
Sioux City, IA 51105-1431
Phone (712) 252-0501

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathleen.lafavor@swhc.directbygreenway.com Siouxland Women's Health Care, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100902000409 IA Practitioner - Obstetrics/Gynecology 3476677196 Reassigns benefits to 1 organization
I20100922000947 SD Practitioner - Obstetrics/Gynecology 3476677196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Kansas City University of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siouxland Women'S Health Care PCGroup PAC ID 0446140560, 6 clinicians

Practice addresses (Care Compare)

1000 Jackson St
Sioux City, IA 51105-1431
Phone (712) 252-0501

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone (605) 232-3332

Hospital & facility affiliations

  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5481NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1760607394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JACKSON ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051431",
            "telephone_number": "712-252-0501",
            "fax_number": "712-252-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JACKSON ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051431",
            "telephone_number": "712-252-0501",
            "fax_number": "712-252-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAVOR",
        "first_name": "KATHLEEN",
        "middle_name": "MICHELE DORCEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NE",
            "license": "5481",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NE",
            "license": "5481",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IA",
            "license": "4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen.lafavor@swhc.directbygreenway.com",
            "affiliation": "Y",
            "affiliationName": "Siouxland Women's Health Care, P.C.",
            "address_1": "1000 Jackson St",
            "city": "Sioux City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "511051431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.