Individual provider Active NPI

Connor Dawson Baze, PA-C

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1013772094
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17881 Issued in TX
Practice address
3800 Gaylord Pkwy Ste 710
Frisco, TX 75034-9635
Phone
(214) 220-2468
Fax
(214) 720-1982
NPI assigned
Feb 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA17881 TX
Physician Assistant 363A00000X PA17881 TX Primary

Addresses

Primary practice location

3800 Gaylord Pkwy Ste 710
Frisco, TX 75034-9635

Mailing address

4700 Seton Center Pkwy Ste 115
Austin, TX 78759-5753
Phone (346) 440-0645

Other practice location 1

9301 N Central Expy
Dallas, TX 75231-0806
Phone (210) 220-2468

Other names 1

  • Connor Dawson Ciemiewicz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717004047 TX Practitioner - Physician Assistant 4880139567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

2700 E Broad St
Mansfield, TX 76063-5899
Phone (214) 884-4700

3800 Gaylord Pkwy
Suite 710
Frisco, TX 75034-9635
Phone (214) 220-2468

5224 S State Hwy 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691

9301 N Central Expy
Dallas, TX 75231-0805
Phone (214) 220-2468

9301 N Central Expy
Suite 451
Dallas, TX 75231-0832
Phone (214) 220-2468

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17881TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Jan 8, 2026 Accepting new patients
Ortholonestar, PLLC CurrentSince Jan 8, 2026 Accepting new patients
Medhealth CurrentSince Jul 15, 2024 Accepting new patients
Medhealth CurrentSince Jul 15, 2024 Accepting new patients

Locations

4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644

9301 N Central Expy
Dallas, TX 75231
Phone (214) 365-8144

9301 N Central Expy
Ste 451
Dallas, TX 75231
Phone (214) 397-1570

9301 N Central Expy
Ste 400500
Dallas, TX 75231

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1013772094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 115",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595753",
            "telephone_number": "346-440-0645",
            "fax_number": "346-478-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 710",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349635",
            "telephone_number": "214-220-2468",
            "fax_number": "214-720-1982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9301 N Central Expy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752310806",
            "country_code": "US",
            "telephone_number": "210-220-2468",
            "fax_number": "469-232-9738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZE",
        "first_name": "CONNOR",
        "middle_name": "DAWSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA17881",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNOR",
            "last_name": "CIEMIEWICZ",
            "middle_name": "DAWSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.