NPI age
19 years
Enumerated 2007-03-05
● Active Type 2 · Organization
Edward A Desano JR MD PA
Edward A Desano JR MD PA is 1 of 228 obstetrics & gynecology organizations in Idaho.
Primary specialty
Obstetrics & Gynecology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Desano
Office Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 228 active obstetrics & gynecology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
755 Hospital Way, B 2
Pocatello, ID 832012717
Mailing address
2110 N Mink Creek Rd
Pocatello, ID 832047207
Authorized official
Marsha Desano
Office Manager
📞 2082516690
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Claine Judy, D.O. Surgery NPI 1356336440
- Douglas Norman, M.D. Specialist NPI 1568499226
- John Thomas, MD Otolaryngology NPI 1124014717
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0002460200 |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.