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
25/04/25 04:51:51 AM

General Information

Former Name: No Former Name
Medical School: Ross University School of Medicine, 2015
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 102-40 Blowers Cres
The Institute of Diabetes and Endocrinology
Ajax Ontario L1Z 0N4
Business Email: No Information Available
Phone: 905-231-1829
Fax: 905-231-1849
Address: 580 Harwood Ave S
Lakeridge Health Ajax Pickering Hospital
Ajax ON L1S 2J4
Phone: 905-683-2320
Fax: 905-428-4335
Address: 103-3838 Midland Ave
Scarborough ON M1V 5K5
Phone: 905-231-1829
Fax: 905-231-1849
Address: 7777 Kipling Avenue
Vaughan Ontario L4L 2Z3
Phone: 289-62201122
Fax: 289-622-1123

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Endocrinology and Metabolism
Effective: 12 Jan 2021
College of Physicians and Surgeons of Ontario
Internal Medicine
Effective: 05 Oct 2020
College of Physicians and Surgeons of Ontario
SPECIALTY: Endocrinology and Metabolism
ISSUED ON: Effective: Jan 12 2021
CERTIFYING BODY: College of Physicians and Surgeons of Ontario
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Oct 05 2020
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

HOSPITAL LOCATION
Lakeridge Health Ajax and Pickering Site Ajax
HOSPITAL: Lakeridge Health Ajax and Pickering Site
LOCATION: Ajax

Professional Corporation Information

Corporation Name: Tara A. Providence Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Nov 2020
Shareholders:
Dr. T. Providence (CPSO#: 123146 )

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: Ross University School of Medicine, 2015

Practice Information

Primary Business Location: 102-40 Blowers Cres
The Institute of Diabetes and Endocrinology
Ajax Ontario L1Z 0N4
Business Email: No Information Available
Phone: 905-231-1829
Fax: 905-231-1849
Address: 580 Harwood Ave S
Lakeridge Health Ajax Pickering Hospital
Ajax ON L1S 2J4
Phone: 905-683-2320
Fax: 905-428-4335
Address: 103-3838 Midland Ave
Scarborough ON M1V 5K5
Phone: 905-231-1829
Fax: 905-231-1849
Address: 7777 Kipling Avenue
Vaughan Ontario L4L 2Z3
Phone: 289-62201122
Fax: 289-622-1123

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Endocrinology and Metabolism
Effective: 12 Jan 2021
College of Physicians and Surgeons of Ontario
Internal Medicine
Effective: 05 Oct 2020
College of Physicians and Surgeons of Ontario
SPECIALTY: Endocrinology and Metabolism
ISSUED ON: Effective: Jan 12 2021
CERTIFYING BODY: College of Physicians and Surgeons of Ontario
SPECIALTY: Internal Medicine
ISSUED ON: Effective: Oct 05 2020
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

HOSPITAL LOCATION
Lakeridge Health Ajax and Pickering Site Ajax
HOSPITAL: Lakeridge Health Ajax and Pickering Site
LOCATION: Ajax

Professional Corporation Information

Corporation Name: Tara A. Providence Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Nov 2020
Shareholders:
Dr. T. Providence (CPSO#: 123146 )

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
26 May 2022
Restricted
IMPOSED BY: Registration Committee
EFFECTIVE DATE: May 26 2022
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.
VIEW DETAILS chevron-down icon
Dr. TARA ANDREA PROVIDENCE may practise medicine independently in internal medicine and endocrinology.
VIEW DETAILS chevron-down icon
Dr. TARA ANDREA PROVIDENCE may practise medicine independently in internal medicine and endocrinology.

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: Ross University School of Medicine, 2015

Registration History

DETAILS DATE
Terms and conditions amended by Registration Committee. Effective: 26 May 2022
Terms and conditions amended by Registration Committee. Effective: 18 Feb 2022
First certificate of registration issued: Restricted Certificate Effective: 05 Oct 2020
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 05 Oct 2020
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 26 May 2022
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 18 Feb 2022
DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 05 Oct 2020
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 05 Oct 2020