Dr. THOMAS VAN BUSKIRK, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. THOMAS VAN BUSKIRK, MD

6600 Cow Pen Road Suite 240

Indemnity Paid: $6,480.00

Insurer Information

Insurer Name				Coverage Type
FORTRESS INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
36-4159841
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Romelia			Alvarez
Street Address
425 N Martingale Road Suite 900
City				State	Zip
Schaumburg				IL	60173
Phone	Ext	Fax	E-Mail Address
(847) 653 - 8823			Romelia.Alvarez@fortressins.com

Insured Information

Type	First Name		MI	Last Name
Individual	THOMAS			VAN BUSKIRK
Insurer Type		Street Address of Practice
Licensed		6600 Cow Pen Road Suite 240
City		State	Zip Code	County
Miami Lakes		FL	33014	Broward
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
37706		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN7342		Dentists

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Broward
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
4/20/2016		9/18/2018

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient had teeth she wanted to have straightened.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured treated the patient first with Invisalign then switched the patient to braces.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Allegation is that insured was unable to complete orthodontic treatment due to a physical disability that developed. Patient in need of completion of orthodontics.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			3/7/2019
Other Defendants Involved in this Claim

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
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/12/2019

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$6,480

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Documentation

Does Dr. THOMAS VAN BUSKIRK, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. THOMAS VAN BUSKIRK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases