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Roth, Michael James

CPSO#: 95965

MEMBER STATUS
Active Member as of 01 Jul 2011
CPSO REGISTRATION CLASS
Independent Practice as of 30 Jun 2016

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:University of Alberta, 2011

Practice Information

Primary Location of Practice
102-955 Major Mackenzie Dr
Maple ON  L6A 4P9
Phone: 289-553-6336 Electoral District: 05

Professional Corporation Information


Corporation Name: Michael J Roth Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Apr 11 2018

Shareholders:
Dr. M. Roth ( CPSO# 95965 )

Business Address:
Suite 104
450 Central Avenue
London ON  N6B 2E8
Phone Number: (226) 236-0120

Business Address:
268 Grosvenor Street
London ON  N6A 4V2
Phone Number: (519) 646-6100

Hospital Privileges

Hospital Location
Alexandra Marine and General Hospital Goderich
Chatham-Kent Health Alliance Chatham
Clinton Public Hospital Clinton
Four Counties Health Services,Newbury Newbury
Hanover and District Hospital Hanover
Kincardine and District Site,South Bruce Grey Health Kincardine
Listowel Memorial Hospital Listowel
London Health Sciences Centre Victoria Hospital London
London Health Sciences Centre,University Site London
Mackenzie Health,Richmond Hill Richmond Hill
South Bruce Grey Health Centre,Chesley Site Chesley
South Bruce Grey Health Centre,Durham-Memorial Site Durham
South Bruce Grey Health Centre,Walkerton Site Walkerton
South Huron Hospital Exeter
Southlake Regional Health Centre Newmarket
St Joseph's Health Care,London - Parkwood Hospital London
St Thomas-Elgin General Hospital St Thomas
Stratford General Hospital Stratford
Strathroy Middlesex General Hospital Strathroy
Tillsonburg District Memorial Hospital Tillsonburg
Wingham and District Hospital Wingham
Woodstock General Hospital Woodstock

Specialties

Specialty Issued On Type
Diagnostic Radiology Effective:30 Jun 2016 RCPSC Specialist

Terms and Conditions

(1) Dr. MICHAEL JAMES ROTH may practise only in the areas of medicine in which Dr. ROTH is educated and experienced.

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.



Western University, 01 Jul 2011 to 30 Jun 2012
PostGrad Yr 1 - Diagnostic Radiology

Western University, 01 Jul 2012 to 30 Jun 2013
PostGrad Yr 2 - Diagnostic Radiology

Western University, 01 Jul 2013 to 30 Jun 2014
PostGrad Yr 3 - Diagnostic Radiology

Western University, 01 Jul 2014 to 30 Jun 2015
PostGrad Yr 4 - Diagnostic Radiology

Western University, 01 Jul 2015 to 30 Jun 2016
PostGrad Yr 5 - Diagnostic Radiology

McMaster University, 01 Jul 2016 to 30 Jun 2017
CF - Diagnostic Radiology

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2011
Transfer of class of registration to: Independent Practice Certificate Effective: 30 Jun 2016