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 03:59:23 AM

General Information

Former Name: No Former Name
Medical School: Schulich School of Medicine and Dentistry, Western University, 2006
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Grand River Hospital
835 King Street West
Kitchener Ontario N2G 1G3
Business Email: No Information Available
Phone: (519) 742-3611
Fax: No Information Available
Address: St. Mary's General Hospital
911 Queen's Blvd
Kitchener Ontario N2M 1B2
Phone: (519) 749-6578
Extension: 6410
Fax: No Information Available
Address: 148 Manitou Drive
CanMed Endoscopy
Kitchener Ontario N2C 1L3
Phone: 2262438971
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Emergency Medicine
Effective: 30 Jun 2011
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Emergency Medicine
ISSUED ON: Effective: Jun 30 2011
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
St Mary's General Hospital Kitchener
Grand River Hospital Corporation Kitchener
HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener
HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener

Professional Corporation Information

Corporation Name: Jay Green Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 25 Sep 2012
Shareholders:
Dr. J. Green (CPSO#: 90405 )
Business Address: 911 Queen's Boulevard
Kitchener Ontario N2M 1B2 (519) 749-6578
Business Address: Grand River Hospital
835 King Street West
Kitchener Ontario N2G 1G3 (519) 749-4300

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Schulich School of Medicine and Dentistry, Western University, 2006

Practice Information

Primary Business Location: Grand River Hospital
835 King Street West
Kitchener Ontario N2G 1G3
Business Email: No Information Available
Phone: (519) 742-3611
Fax: No Information Available
Address: St. Mary's General Hospital
911 Queen's Blvd
Kitchener Ontario N2M 1B2
Phone: (519) 749-6578
Extension: 6410
Fax: No Information Available
Address: 148 Manitou Drive
CanMed Endoscopy
Kitchener Ontario N2C 1L3
Phone: 2262438971
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Emergency Medicine
Effective: 30 Jun 2011
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Emergency Medicine
ISSUED ON: Effective: Jun 30 2011
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
St Mary's General Hospital Kitchener
Grand River Hospital Corporation Kitchener
HOSPITAL: St Mary's General Hospital
LOCATION: Kitchener
HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener

Professional Corporation Information

Corporation Name: Jay Green Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 25 Sep 2012
Shareholders:
Dr. J. Green (CPSO#: 90405 )
Business Address: 911 Queen's Boulevard
Kitchener Ontario N2M 1B2 (519) 749-6578
Business Address: Grand River Hospital
835 King Street West
Kitchener Ontario N2G 1G3 (519) 749-4300

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. JASON PAUL GREEN may practise only in the areas of medicine in which Dr. GREEN is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. JASON PAUL GREEN may practise only in the areas of medicine in which Dr. GREEN 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: Schulich School of Medicine and Dentistry, Western University, 2006

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 28 Jun 2012
Expired: Terms and conditions of certificate of registration Effective: 31 May 2009
First certificate of registration issued: Postgraduate Education Certificate Effective: 04 May 2009
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 28 Jun 2012
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 31 May 2009
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 04 May 2009