CAPITAL SURGICAL ASSOCIATES, PA
NPI 1902854433
Surgery in Boise, ID

Active since May 05, 2006CLIA 13D2290127 · Waiver
8854 W EMERALD ST, SUITE 140, BOISE, ID 83704(208) 321-4790(208) 321-4836 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2023, Jan 17, 2020, Oct 9, 2019 (3 updates tracked since 2019).

About Capital Surgical Associates, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAPITAL SURGICAL ASSOCIATES, PA (NPI 1902854433), doing business as Orthopaedic Associates, Pa, is a healthcare organization registered as a surgery in Boise, Idaho and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Lisa Jack, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1902854433
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCAPITAL SURGICAL ASSOCIATES, PA
Location Address8854 W EMERALD ST, SUITE 140Boise, ID 83704-4845
Mailing Address8854 W Emerald St Ste 140Boise, ID 83704-4845 · (208) 321-4790 · Fax (208) 321-4836
Fax(208) 321-4836
Organization SubpartNo
Authorized OfficialLisa JackPractice Manager · (208) 321-4790
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 28, 20253 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
NPI 1902854433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedUrologyTaxonomy 208800000X
8854 W EMERALD ST, Boise, ID 83704

Other Names 1

Former Legal Business NameOrthopaedic Associates, Pa

Other Identifiers 5

Other290408ID · Regence Blue Shield
Medicaid807082700ID
Other89466ID · Blue Cross
Other13D2290127ID · Clia
OtherDC4854ID · Travelers Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2290127

Capital Surgical Associates PA · Boise, ID
Active · expires Sep 20, 2027
CLIA Number13D2290127
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorRyan Applonie
Laboratory Phone(208) 321-4790
Laboratory LocationCapital Surgical Associates PA8854 W Emerald St Ste 140, Boise, ID 83704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST, # 170
BOISE, ID 83704
Orthopaedic Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Surgery
8854 W EMERALD ST
BOISE, ID 83704
Clinic/Center (Physical Therapy)
8854 W EMERALD ST, SUITE 280
BOISE, ID 83704
Physician Assistant
8854 W EMERALD ST, SUITE #102
BOISE, ID 83704
Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Physician Assistant (Medical)
8854 W EMERALD ST, STE 102
BOISE, ID 83704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Capital Surgical Associates, PA's NPI number?

The NPI number for Capital Surgical Associates, PA is 1902854433. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider was formerly known as Orthopaedic Associates, PA.

Where is Capital Surgical Associates, PA located?

Capital Surgical Associates, PA is located at 8854 W Emerald St Suite 140, Boise, ID 83704. The listed phone number is (208) 321-4790.

What is Capital Surgical Associates, PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Capital Surgical Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2290127) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Capital Surgical Associates, PA accept?

Health plans from Moda Health Plan, Inc. list Capital Surgical Associates, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Capital Surgical Associates, PA was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.