Massac County Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MASSAC COUNTY SURGERY CENTER LLC

Doing business as

The Orthopaedic Institute Surgery Center

Practice address

1811 E 5TH St
Metropolis, IL 62960

Phone

(618) 309-6000

Fax

(618) 309-6001

NPI assigned

Oct 30, 2014

Last updated

Jun 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melanie Russell, RN

Title

Director of Nursing

Phone

(618) 309-6005

Specialties & licenses 1

Addresses

Other names 1

• The Orthopaedic Institute Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

The Orthopaedic Institute Surgery CtrCCN 14C0001166

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Brian S Kern, M.D.

  • Orthopaedic Surgery Physician
  • Paducah, KY
  • NPI 1124231824
  NPD
• Ryan Tyler Beck, MD

  • Orthopaedic Surgery Physician
  • Paducah, KY
  • NPI 1184912909
  NPD (past)
• Jason Gregory Patton, M.D.

  • Orthopaedic Surgery Physician
  • Paducah, KY
  • NPI 1578826061
  NPD (past)

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1407251622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 E 5TH ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629603107",
            "telephone_number": "618-309-6005",
            "fax_number": "618-309-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E 5TH ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "62960",
            "telephone_number": "618-309-6000",
            "fax_number": "618-309-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAC COUNTY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "618-309-6005",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orthopaedic Institute Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Orthopaedic Institute Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jess Martin
• Tina Martin, LCP
• Massac County Mental Health
• Massac County Mental Health
• Massac County Mental Health & Family Counseling Center Inc (Massac County Mental Health)
• Massac EMS
• Massac Memorial Hospital (Massac Memorial Inegrated Care Clinic)
• Massac Memorial Hospital (Massac Memorial Medical Clinic II)
• Massac Memorial Hospital (Massac Memorial Medical Clinic)
• Massac Memorial Hospital

• Ambulatory Surgical Clinic/Center in Metropolis, IL
• Providers in Metropolis, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.

Verify at the official NPI Registry.