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
01/06/25 08:25:03 AM

General Information

Former Name: No Former Name
Medical School: University of Toronto, 2003
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 100 Rolling Hills Drive
Headwaters Health Care Centre
Orangeville Ontario L9W 4X9
Business Email: No Information Available
Phone: 5199412410
Extension: 2232
Fax: No Information Available
Address: Scope Clinic
470 Chrysler Drive
Brampton Ontario L6S 0C1
Phone: (905) 790-9030
Fax: (905) 790-7487
Address: 65 Roy Boates Ave
Prince County Hospital
Summerside PE C1N 6M8
Phone: 9024384200
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 15 Jun 2005
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 15 2005
CERTIFYING BODY: College of Family Physicians of Canada

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
Canada - Prince Edward Island

Hospital Privileges

HOSPITAL LOCATION
Headwaters Health Care Centre Orangeville
HOSPITAL: Headwaters Health Care Centre
LOCATION: Orangeville

Professional Corporation Information

Corporation Name: Kenji Miyata Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Aug 2008
Shareholders:
Dr. K. Miyata (CPSO#: 79446 )
Business Address: Headwaters Health Care Centre
100 Rolling Hills Drive
Orangeville Ontario L9W 4X9 (519) 941-2410

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: University of Toronto, 2003

Practice Information

Primary Business Location: 100 Rolling Hills Drive
Headwaters Health Care Centre
Orangeville Ontario L9W 4X9
Business Email: No Information Available
Phone: 5199412410
Extension: 2232
Fax: No Information Available
Address: Scope Clinic
470 Chrysler Drive
Brampton Ontario L6S 0C1
Phone: (905) 790-9030
Fax: (905) 790-7487
Address: 65 Roy Boates Ave
Prince County Hospital
Summerside PE C1N 6M8
Phone: 9024384200
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Family Medicine
Effective: 15 Jun 2005
College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 15 2005
CERTIFYING BODY: College of Family Physicians of Canada

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
Canada - Prince Edward Island

Hospital Privileges

HOSPITAL LOCATION
Headwaters Health Care Centre Orangeville
HOSPITAL: Headwaters Health Care Centre
LOCATION: Orangeville

Professional Corporation Information

Corporation Name: Kenji Miyata Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 28 Aug 2008
Shareholders:
Dr. K. Miyata (CPSO#: 79446 )
Business Address: Headwaters Health Care Centre
100 Rolling Hills Drive
Orangeville Ontario L9W 4X9 (519) 941-2410

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. KENJI SEAN MIYATA may practise only in the areas of medicine in which Dr. MIYATA is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. KENJI SEAN MIYATA may practise only in the areas of medicine in which Dr. MIYATA is educated and experienced.

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: University of Toronto, 2003

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 22 Jun 2005
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2003
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 22 Jun 2005
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2003