Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEO ATLAS FONTENOT
DeactivatedTHEO ATLAS FONTENOT is a Foot & Ankle Surgery healthcare provider located in WILLISTON, North Dakota. NPI 1679200638 is deactivated in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · WILLISTON, ND
This NPI has been deactivated.
The record was deactivated on September 3, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1679200638
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Aug 1, 2022 (2.0904109589041 yrs)
- Last Updated
- Jul 28, 2025
- Deactivated
- Sep 3, 2024
Practice Information
- Address
-
3001 HARVEST HILLS DR APT 315WILLISTON, ND, 588012670Browse ND providers · Browse ZIP 58801
- Phone
- 7017050868
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Foot & Ankle Surgery
Other Foot & Ankle Surgery Providers in WILLISTON, ND
| Name | Credential | NPI |
|---|---|---|
| MELISSA LAWRENCE | — | 1891393724 |
| MR. KENNY A HAMMER | — | 1316546922 |
| JOCELYNN MACLEAN | — | 1427658566 |
| VALERIE ANN SNOW | — | 1912507542 |
| SANDRA NEWMAN | — | 1649872623 |
| KATHLEEN VANDAL | — | 1316549447 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.