Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. George Damon Gantsoudes, MD

Individual provider Pediatric Orthopaedic Surgery Physician · NPI 1013173004

Dr. George Damon Gantsoudes, MD is an Orthopedic Surgery in Vienna, Virginia. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2004, 22 years ago. Practices with Braxton County Memorial Hospital, a 46-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Virginia.

Years since qualifying
22
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
DC, VA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

410 Maple Ave W Ste 5
Vienna, VA 22180-4224
Phone: (646) 240-9444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Orthopaedic Surgery Physician (primary) Taxonomy 207XP3100X · Licence 0101257854 (VA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 0101257854 (VA)
Pediatric Orthopaedic Surgery Physician Taxonomy 207XP3100X · Licence MD043693 (DC)

Record details

NPI number1013173004
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 30, 2008
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2004 (22 years in practice)
Group practice Braxton County Memorial Hospital — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount