DR. GEORGE DAMON GANTSOUDES (NPI# 1013173004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013173004 |
| Entity Type | Individual |
| Full Name | DR. GEORGE DAMON GANTSOUDES |
| Credential | MD |
| Practice Address |
3023 Hamaker Ct Ste 500 Fairfax VA 22031-2241 |
| Practice Telephone | 7038762788 |
| Mailing Telephone | 7038762788 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2020-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 0101257854 | VA | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
MD043693 | DC | Allopathic & Osteopathic Physicians |
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
0101257854 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
3023 HAMAKER CT STE 500 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740486018 | Laura E.a Gill Sealy | Orthopaedic Surgery | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031 | 2007-06-25 |
| 1427593086 | Samantha Leahy | Physician Assistant | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 | 2017-01-05 |
| 1770908246 | Kelly Crown | Physician Assistant | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 | 2014-02-20 |
| 1538507173 | Christina Pham Ho | Surgery | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 | 2013-06-05 |
| 1487910345 | Joseph Paul Letzelter IIi | Orthopaedic Surgery | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 | 2012-04-05 |
| 1972877009 | Julie Ann Will | Nurse Practitioner | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 | 2012-03-07 |
| 1073812442 | Meryl Rutkowski Ludwig | Orthopaedic Surgery | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 | 2011-03-24 |
| 1164733960 | Marta Biderman Waberski | Medical Genetics | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 | 2010-06-25 |
| 1164747499 | Rachel Edlin Selekman | Urology | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740486018 | Laura E.a Gill Sealy | Orthopaedic Surgery | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031 | 2007-06-25 |
| 1073812442 | Meryl Rutkowski Ludwig | Orthopaedic Surgery | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 | 2011-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235347568 | Mary G. Paulus | Orthopaedic Surgery | 19185 Ebenezer Church Rd, Round Hill, VA 20141-1910 | 2007-05-18 |
| 1154542728 | Thomas Jay Neviaser | Orthopaedic Surgery | 15093 Rixeyville Lakes Court, Rixeyville, VA 22737 | 2007-05-01 |
| 1316359458 | Susan E Atkins | Orthopaedic Surgery | 1011 Hioaks Rd, Richmond, VA 23225-4040 | 2014-05-23 |
| 1932528536 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 107 Dmv Dr, Kilmarnock, VA 22482-3843 | 2014-04-10 |
| 1962849786 | James Bennett | Orthopaedic Surgery | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2013-06-03 |
| 1780904250 | Gregory H. Hale | Orthopaedic Surgery | 1501 Maple Ave, Nw Mob Suite 200, Richmond, VA 23226-2553 | 2010-06-08 |
| 1316191778 | Joanna Jeruzal Horstmann | Orthopaedic Surgery | 1250 E Marshall St, Orthopaedic Surgery, Richmond, VA 23298-5051 | 2008-11-12 |
| 1750598249 | Richard Otto Stader | Orthopaedic Surgery | 5249 Olde Towne Rd, Williamsburg, VA 23188-8111 | 2007-05-16 |
| 1124230917 | Bluefield Orthopedics, P.C. | Orthopaedic Surgery | 1616 W Cumberland Rd, Bluefield, VA 24605-2005 | 2007-05-04 |
| 1679635874 | Mark F. Abel | Orthopaedic Surgery | 2270 Ivy Rd, Uva Kluge Rehab Center, Charlottesville, VA 22903-4977 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.