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
15/12/24 01:48:04 AM

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: Kawartha Cardiology Clinic
327 Charlotte St
Peterborough Ontario K9J 0B2
Business Email: No Information Available
Phone: (705) 775-5924
Fax: (705) 775-5927
Address: Peterborough Regional Health Centre
1 Hospital Dr
Peterborough Ontario K9J 7C6
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Cardiology
Effective: 01 Jul 2018
College of Physicians and Surgeons of Ontario
SPECIALTY: Cardiology
ISSUED ON: Effective: Jul 01 2018
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

HOSPITAL LOCATION
Peterborough Regional Health Centre Peterborough
HOSPITAL: Peterborough Regional Health Centre
LOCATION: Peterborough

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 )
Business Address: Peterborough Regional Health Centre
1 Hospital Drive
Peterborough Ontario K9J 7C6
(705) 743-2121
Business Address: Kawartha Cardiology Clinic
327 Charlotte Street
Peterborough Ontario K9J 0B2
(705) 740-2043

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: Kawartha Cardiology Clinic
327 Charlotte St
Peterborough Ontario K9J 0B2
Business Email: No Information Available
Phone: (705) 775-5924
Fax: (705) 775-5927
Address: Peterborough Regional Health Centre
1 Hospital Dr
Peterborough Ontario K9J 7C6
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Cardiology
Effective: 01 Jul 2018
College of Physicians and Surgeons of Ontario
SPECIALTY: Cardiology
ISSUED ON: Effective: Jul 01 2018
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

HOSPITAL LOCATION
Peterborough Regional Health Centre Peterborough
HOSPITAL: Peterborough Regional Health Centre
LOCATION: Peterborough

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 )
Business Address: Peterborough Regional Health Centre
1 Hospital Drive
Peterborough Ontario K9J 7C6
(705) 743-2121
Business Address: Kawartha Cardiology Clinic
327 Charlotte Street
Peterborough Ontario K9J 0B2
(705) 740-2043

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
01 Nov 2019
Restricted
IMPOSED BY: Registration Committee
EFFECTIVE DATE: Nov 01 2019
EXPIRY DATE:
STATUS: Restricted
A physician who has a restricted licence must follow specific terms and conditions in their practice.
A physician who has a restricted licence must follow specific terms and conditions in their practice.
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Dr. Karen Elizabeth Wagner may practise medicine independently in cardiology.

VIEW DETAILS chevron-down icon
Dr. Karen Elizabeth Wagner may practise medicine independently in cardiology.

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
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: 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