Department File Number : | M201989556 |
Claim Number : | 2015023118 |
Date Submitted : | 8/7/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
ALLIED WORLD SURPLUS LINES INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
51-0331163 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Joyce | M | Palmisano | ||
Street Address | |||||
1690 New Britain Ave. Suite 101 | |||||
City | State | Zip | |||
Farmington | CT | 06032 | |||
Phone | Ext | Fax | E-Mail Address | ||
(860) 284 - 1382 | 1382 | (860) 284 - 1383 | Joyce.Palmisano@awac.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ROBERT | GUIRGUIS | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 5767 49th St. North | ||||
City | State | Zip Code | County | ||
SAINT PETERSBURG | FL | 33709 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0303-2472 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS9146 | Internal Medicine - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Tampa Pail Relief Center, Inc. | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/3/2015 | 11/2/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Degenerative disc disease, scoliosis, osteomyelitis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Steroid injections | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged negligence in failing to: (1) timely diagnose and treat osteomyelitis, (2) follow up for MRI results before proceeding with additional injections, (3) timely review the results of the MRI and communicate those results to Patient, (4) timely follow up with other healthcare providers regarding her suspected osteomyelitis, and (5) timely refer Patient for proper treatment of osteomyelitis. | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiffs claim this delay caused Patient spinal collapse and deformity, requiring the need for additional surgeries and life-long antibiotics. | |||||
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 | ||||
2/2/2016 | 16-CA-990 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 7/23/2019 | ||||
Other Defendants Involved in this Claim | |||||
Messer, Andrew Orthopaedic Associates of West Florida, P.A. Tampa Pain Relief Center Armenia Ambulatory Surgery Center, LLC Surgery Center Holdings, Inc. | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
8/5/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $75,370 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Worked closely with defense counsel to resolve claim. |
Updates | |
No updates found. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201783298 |
Claim Number : | FP4103503 |
Date Submitted : | 10/5/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FIRST PROFESSIONALS INSURANCE COMPANY, INC | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-6614702 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway, W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Robert | Guirguis | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 5501 Gray Street | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33609 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FP-CL103501 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS9146 | Anesthesiology - Pain Management |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
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 | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/31/2008 | 2/16/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Spinal Stenosis with chronic back pain unrelieved by conservative treatment. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Epidural morphine pump trial. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Hospital admission after a fall at home during the course of epidural morphine pump trial. | |||||
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 | ||||
7/7/2011 | 11007150 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 9/29/2017 | ||||
Other Defendants Involved in this Claim | |||||
Yaacoub, MD, Chadi Otero, MD, John Rivera, MD, Abraham Tampa Pain Relief Center, Inc. Armenia Surgery Center | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
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 | $30,190 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $9,339 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
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. ROBERT GUIRGUIS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ROBERT GUIRGUIS, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).