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
13/01/25 06:56:46 AM

General Information

Former Name: No Former Name
Medical School: University of Alberta Faculty of Medicine and Dentistry, 2011
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 102-955 Major Mackenzie Dr
Maple ON L6A 4P9
Business Email: No Information Available
Phone: 289-553-6336
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Diagnostic Radiology
Effective: 30 Jun 2016
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Diagnostic Radiology
ISSUED ON: Effective: Jun 30 2016
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Southlake Regional Health Centre Newmarket
Mackenzie Health Richmond Hill
HOSPITAL: Southlake Regional Health Centre
LOCATION: Newmarket
HOSPITAL: Mackenzie Health
LOCATION: Richmond Hill

Professional Corporation Information

Corporation Name: Michael J Roth Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 11 Apr 2018
Shareholders:
Dr. M. Roth (CPSO#: 95965 )
Business Address: 955 Major Mackenzie Dr
Suite 102
Maple ON L6A 4P9

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: University of Alberta Faculty of Medicine and Dentistry, 2011

Practice Information

Primary Business Location: 102-955 Major Mackenzie Dr
Maple ON L6A 4P9
Business Email: No Information Available
Phone: 289-553-6336
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Diagnostic Radiology
Effective: 30 Jun 2016
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Diagnostic Radiology
ISSUED ON: Effective: Jun 30 2016
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

HOSPITAL LOCATION
Southlake Regional Health Centre Newmarket
Mackenzie Health Richmond Hill
HOSPITAL: Southlake Regional Health Centre
LOCATION: Newmarket
HOSPITAL: Mackenzie Health
LOCATION: Richmond Hill

Professional Corporation Information

Corporation Name: Michael J Roth Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 11 Apr 2018
Shareholders:
Dr. M. Roth (CPSO#: 95965 )
Business Address: 955 Major Mackenzie Dr
Suite 102
Maple ON L6A 4P9

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. MICHAEL JAMES ROTH may practise only in the areas of medicine in which Dr. ROTH is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. MICHAEL JAMES ROTH may practise only in the areas of medicine in which Dr. ROTH 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 Alberta Faculty of Medicine and Dentistry, 2011

Registration History

DETAILS DATE
Transfer of class of registration to: Independent Practice Certificate Effective: 30 Jun 2016
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2011
DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 30 Jun 2016
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2011