Imed Surgical of Oxon Hill PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

IMED SURGICAL OF OXON HILL PC

Practice address

6178 Oxon Hill Rd
Oxon Hill, MD 20745-3109

Phone

(301) 292-9220

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer R Myers

Title

Clinical Compliance Manager

Phone

(631) 479-3496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Jones

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1134297484

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1043856784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1970",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101561970",
            "telephone_number": "212-223-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6178 OXON HILL RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453109",
            "telephone_number": "301-292-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMED SURGICAL OF OXON HILL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "631-479-3496"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth M. Hrechka, D.D.S.
• Hummingbird Counseling and Therapeutic Services
• Hufsa Hussan
• Ib Dental II, P.C.
• Adaobi Sandra Ikedilo, PHARMD
• Integrated Mental Health Services, LLC
• Iradj Sadeghian MD & Associates
• Kafayat Folake Iyanda, DPT
• Dana C. Jackson, DDS
• Gabrielle Jackson, LICSW, LCSW, LCSW-C

• Surgery Physician in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.