THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
02/08/25 13:13:24 PM

General Information

Former Name: Bascom, Karen Elizabeth (Used Until: 11 Jan 2018)
Medical School: Royal College of Surgeons in Ireland School of Medicine, 2010
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

No Specialty Reported

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. William Hughes Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 19 Sep 2020
Shareholders:
Dr. M. Hartleib (CPSO#: 72592 ) Dr. K. Wagner (CPSO#: 109864 ) Dr. W. Hughes (CPSO#: 31872 ) Dr. K. Doucet (CPSO#: 90737 )
Business Address: Haliburton Family Medical Centre
7129 Gelert Road
P.O. Box 870, 2nd Floor
Haliburton Ontario K0M 1S0
(705) 475-1212
Business Address: Northumberland Hills Hospital
1000 Depalma Drive
Cobourg Ontario K9A 5W6
(905) 372-6811
Business Address: North Hastings Family Health Team
1P Manor Lane
Bancroft Ontario K0L 1C0
Business Address: Suite 204
327 Charlotte Street
Peterborough Ontario K9J 0B2
(705) 743-3555
Business Address: 23 Front Street South
Campbellford Ontario K0L 1L0
Business Address: Campbellford Memorial Hospital
146 Oliver Road
Campbellford Ontario K0L 1L0
(705) 653-1140

Corporation Name: Dr. K.E. Wagner Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 27 Jun 2019
Shareholders:
Dr. K. Wagner (CPSO#: 109864 )

General Information

Former Name: Bascom, Karen Elizabeth (Used Until: 11 Jan 2018)
Gender: Woman
Languages Spoken: ENGLISH
Medical School: Royal College of Surgeons in Ireland School of Medicine, 2010

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

No Specialty Reported

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Dr. William Hughes Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 19 Sep 2020
Shareholders:
Dr. M. Hartleib (CPSO#: 72592 ) Dr. K. Wagner (CPSO#: 109864 ) Dr. W. Hughes (CPSO#: 31872 ) Dr. K. Doucet (CPSO#: 90737 )
Business Address: Haliburton Family Medical Centre
7129 Gelert Road
P.O. Box 870, 2nd Floor
Haliburton Ontario K0M 1S0
(705) 475-1212
Business Address: Northumberland Hills Hospital
1000 Depalma Drive
Cobourg Ontario K9A 5W6
(905) 372-6811
Business Address: North Hastings Family Health Team
1P Manor Lane
Bancroft Ontario K0L 1C0
Business Address: Suite 204
327 Charlotte Street
Peterborough Ontario K9J 0B2
(705) 743-3555
Business Address: 23 Front Street South
Campbellford Ontario K0L 1L0
Business Address: Campbellford Memorial Hospital
146 Oliver Road
Campbellford Ontario K0L 1L0
(705) 653-1140

Corporation Name: Dr. K.E. Wagner Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 27 Jun 2019
Shareholders:
Dr. K. Wagner (CPSO#: 109864 )

Practice Conditions

This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.
This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Royal College of Surgeons in Ireland School of Medicine, 2010

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 30 Jun 2025
Terms and conditions amended by Registration Committee. Effective: 01 Nov 2019
Terms and conditions amended by Registration Committee. Effective: 13 May 2019
Subsequent certificate of registration issued: Restricted Certificate Effective: 01 Jul 2018
Expired: Terms and conditions of certificate of registration Effective: 30 Jun 2018
Transfer of class of registration to: Postgraduate Education Certificate Effective: 27 Aug 2016
First certificate of registration issued: Pre Entry Assessment Program Certificate Effective: 01 Jul 2016
DETAILS: Expired: Resigned from membership.
Date: Effective: 30 Jun 2025

DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 01 Nov 2019

DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 13 May 2019

DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 01 Jul 2018
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 01 Jul 2018

DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 30 Jun 2018

DETAILS: Transfer of class of registration to: Postgraduate Education Certificate
Date: Effective: 27 Aug 2016

DETAILS: First certificate of registration issued: Pre Entry Assessment Program Certificate
Date: Effective: 01 Jul 2016