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Capital Surgical Associates, PA

Surgery Physician in Boise, ID · enumerated 2006 · authorized official Lisa Jack, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902854433

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Registry record

Entity type Organization (Type 2)
Legal business name Capital Surgical Associates, PA
Other name <Unavail>
Practice address 8854 W Emerald St, Suite 140, Boise, ID, 83704
Fax (208) 321-4836
Enumeration date May 5, 2006
Last updated in NPPES Aug 28, 2025

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Lisa Jack
Title Practice Manager

Other identifiers

Identifier Type State Issuer
290408 Other ID REGENCE BLUE SHIELD
807082700 Medicaid ID -
89466 Other ID BLUE CROSS
13D2290127 Other ID CLIA
DC4854 Other ID TRAVELERS MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Capital Surgical Associates, PA?
Capital Surgical Associates, PA is registered in NPPES as a Surgery Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-28.