Department File Number : | M201575278 |
Claim Number : | 195819 |
Date Submitted : | 7/21/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
38-2317569 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Joe | H | Grasse | ||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 439 - 7969 | jgrasse@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Noushin | Izadifar Hart | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2776 Enterprise Road, Suite 100 | ||||
City | State | Zip Code | County | ||
Orange City | FL | 32763 | Volusia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP36538 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME112142 | Additional Charges: Raditation Therapy |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Volusia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
7/2/2012 | 6/19/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient complained of non-healing cancerous growth on her lower lip. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
radiation for saliva gland and lip cancer | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
no misdiagnosis was made | |||||
Principal Injury Giving Rise To The Claim | |||||
alleged negligence in failure to provide radiation therapy on neck | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 7/6/2015 | ||||
Other Defendants Involved in this Claim | |||||
Mid Florida Hematology & Oncology Cetners PA | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Dropped before Action Filed | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $972,050 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $555,998 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with defense counsel, insurance personnel, and medical experts. |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. NOUSHIN IZADIFAR HART, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. NOUSHIN IZADIFAR HART, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).