Active NPI
Capital Surgical Associates, PA
- Surgery Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CAPITAL SURGICAL ASSOCIATES, PA
- Practice address
- 8854 W Emerald St
Suite 140
Boise, ID 83704-4845 - Phone
- (208) 321-4790
- Fax
- (208) 321-4836
- NPI assigned
- May 5, 2006
- Last updated
- Aug 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Jack
- Title
- Practice Manager
- Phone
- (208) 321-4790
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Surgery Physician | 208600000X | Primary | ||
| Urology Physician | 208800000X |
Addresses
Primary practice location
8854 W Emerald St
Suite 140
Boise, ID 83704-4845
Mailing address
8854 W Emerald St Ste 140
Boise, ID 83704-4845
Phone (208) 321-4790
Other names 1
- Orthopaedic Associates, PA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2290127 | Capital Surgical Associates PA | Certificate of waiver | Sep 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
901 N Curtis Rd
Ste 501
Boise, ID 83706
Phone (208) 302-3900
211 E Logan St
Ste 305
Caldwell, ID 83605
Phone (208) 898-7467
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Boise, ID
- NPI 1679716591
-
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1023068194
-
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1619124906
-
- Surgery Physician
- Boise, ID
- NPI 1427316942
-
- Urology Physician
- Boise, ID
- NPI 1467815530
-
- Surgery Physician
- Boise, ID
- NPI 1568451581
-
- Physician Assistant
- Boise, ID
- NPI 1760163679
-
- Physician Assistant
- Boise, ID
- NPI 1235640525
-
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1083663868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1902854433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8854 W EMERALD ST STE 140",
"city": "BOISE",
"state": "ID",
"postal_code": "837044845",
"telephone_number": "208-321-4790",
"fax_number": "208-321-4836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8854 W EMERALD ST",
"address_2": "SUITE 140",
"city": "BOISE",
"state": "ID",
"postal_code": "837044845",
"telephone_number": "208-321-4790",
"fax_number": "208-321-4836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL SURGICAL ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "JACK",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "208-321-4790"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orthopaedic Associates, PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.