Individual provider Active NPI

Stephen Erik Gano, MD

  • Dermatology Physician
  • Arlington, TX
National Provider Identifier
1962402040
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E7936 Issued in TX
Practice address
1100 Orchard Dr
Ste B
Arlington, TX 76012-2519
Phone
(817) 860-3191
Fax
(817) 860-0816
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X E7936 TX Primary

Addresses

Primary practice location

1100 Orchard Dr
Ste B
Arlington, TX 76012-2519

Mailing address

1100 Orchard Dr
Ste B
Arlington, TX 76012-2519
Phone (817) 860-3191

Other identifiers 1

IdentifierTypeStateIssuer
P000KK601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E7936TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermone Dermatology Associates of Texas PA Dermatology Past Accepting new patients
Edward E. Rotan, Jr., MD, P.a. Dermatology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962402040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ORCHARD DR",
            "address_2": "STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122519",
            "telephone_number": "817-860-3191",
            "fax_number": "817-860-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ORCHARD DR",
            "address_2": "STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122519",
            "telephone_number": "817-860-3191",
            "fax_number": "817-860-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANO",
        "first_name": "STEPHEN",
        "middle_name": "ERIK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E7936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000KK601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.