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
24/04/25 05:30:18 AM

General Information

Former Name: No Former Name
Medical School: Indiana University, 2001
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: L H S C Children's Hospital
Department of Pediatrics
PO Box 5010, Room B1-164
800 Commissioners Rd E
London Ontario N6A 5W9
Business Email: No Information Available
Phone: (519) 685-8177
Fax: (519) 685-8105

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Gastroenterology
Effective: 24 Jan 2019
College of Physicians and Surgeons of Ontario
Pediatrics
Effective: 04 Feb 2009
College of Physicians and Surgeons of Ontario
SPECIALTY: Gastroenterology
ISSUED ON: Effective: Jan 24 2019
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

SPECIALTY: Pediatrics
ISSUED ON: Effective: Feb 04 2009
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

HOSPITAL LOCATION
London Health Sciences Centre Victoria Hospital London
HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London

Professional Corporation Information

Corporation Name: Bax Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Jun 2009
Shareholders:
Dr. K. Bax (CPSO#: 90226 )
Business Address: Children's Hospital
London Health Sciences Centre
800 Commissioners Road East
Room B1-164
London Ontario N6A 5W9
(519) 685-8500 Extn: 56505

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Indiana University, 2001

Practice Information

Primary Business Location: L H S C Children's Hospital
Department of Pediatrics
PO Box 5010, Room B1-164
800 Commissioners Rd E
London Ontario N6A 5W9
Business Email: No Information Available
Phone: (519) 685-8177
Fax: (519) 685-8105

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Gastroenterology
Effective: 24 Jan 2019
College of Physicians and Surgeons of Ontario
Pediatrics
Effective: 04 Feb 2009
College of Physicians and Surgeons of Ontario
SPECIALTY: Gastroenterology
ISSUED ON: Effective: Jan 24 2019
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

SPECIALTY: Pediatrics
ISSUED ON: Effective: Feb 04 2009
CERTIFYING BODY: College of Physicians and Surgeons of Ontario

Hospital Privileges

HOSPITAL LOCATION
London Health Sciences Centre Victoria Hospital London
HOSPITAL: London Health Sciences Centre Victoria Hospital
LOCATION: London

Professional Corporation Information

Corporation Name: Bax Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 24 Jun 2009
Shareholders:
Dr. K. Bax (CPSO#: 90226 )
Business Address: Children's Hospital
London Health Sciences Centre
800 Commissioners Road East
Room B1-164
London Ontario N6A 5W9
(519) 685-8500 Extn: 56505

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
24 Jan 2019
Restricted
IMPOSED BY: Registration Committee
EFFECTIVE DATE: Jan 24 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.
VIEW DETAILS chevron-down icon
Dr. Kevin Charles Bax may practise medicine independently in pediatric
gastroenterology.

VIEW DETAILS chevron-down icon
Dr. Kevin Charles Bax may practise medicine independently in pediatric
gastroenterology.

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: Indiana University, 2001

Registration History

DETAILS DATE
Terms and conditions amended by Registration Committee. Effective: 24 Jan 2019
Terms and conditions amended by Registration Committee. Effective: 01 Jul 2016
Terms and conditions amended by Registration Committee. Effective: 15 Jan 2016
First certificate of registration issued: Restricted Certificate Effective: 04 Feb 2009
DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 24 Jan 2019

DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 01 Jul 2016

DETAILS: Terms and conditions amended by Registration Committee.
Date: Effective: 15 Jan 2016

DETAILS: First certificate of registration issued: Restricted Certificate
Date: Effective: 04 Feb 2009
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 04 Feb 2009