Department File Number : | M201783580 |
Claim Number : | MM276589 |
Date Submitted : | 11/4/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EVANSTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2950161 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | CRYSTAL | L | ALSTONBAYTON | ||
Street Address | |||||
4600 COX ROAD | |||||
City | State | Zip | |||
GLEN ALLEN | VA | 23060 | |||
Phone | Ext | Fax | E-Mail Address | ||
(804) 864 - 3731 | (855) 662 - 7535 | CALSTONBAYTON@MARKELCORP.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JAMES | C | SHEPPARD | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 796 TRIPLE G ROAD | ||||
City | State | Zip Code | County | ||
DE FUNIAK SPRINGS | FL | 32433 | Walton | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MM824995 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME12154 | Physicians - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Walton | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Prison | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | JAIL INFIRMARY | ||||
Date of Occurrence | Date Reported to Insurer | ||||
3/23/2013 | 7/22/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
CLMT PRESENTED TO MEDICAL STAFF WITH 2 SMALL SORES WITH SLIGHT DRAINAGE. SHE ALSO HAD HILLS AND MILD TEMPERATURE. REDNESS TO ABDOMEN AND THIGHS, MORE DRAINAGE AND HIGHER TEMPERATURES DEVELOPED DAYS LATER. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
WOUNDS WORSENED, PAIN WORSENED HOSPITALIZATION DELAYED CAUSINSING INFECTION TO DEVELOP AND S/P SURGERY AFTER MRSA DEVELOPED | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
FAILURE TO DIAGNOS THE PRESENSE OF MRSA | |||||
Principal Injury Giving Rise To The Claim | |||||
DELAY IN TREATMENT OF ANTIBIOTICS AND ESCALATION TO HOSPITAL TREATMENT CAUSING THE WOUND TO WORSEN AND MRSA TO DEVELOP S/P THE WOUND TO REQUIRE SURGICAL REMEDY | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/30/2015 | 2015-CA-527 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Walton | 8/11/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
During trial, but before court verdict. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
Summary judgment for the defendant. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
7/17/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $15,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $19,996 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $10,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
NONE |
Updates | |
No updates found. |
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Does Dr. JAMES C SHEPPARD, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAMES C SHEPPARD, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).