Medical Malpractice Cases

Medical Malpractice Cases In Manatee County Florida

Dr. Andrew Liskiewicz Medical Malpractice Lawsuits - Court Case # 2002 CA 4132

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640707
Claim Number :D02-25739-01
Date Submitted :5/19/2006
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAndrew Liskiewicz
Insurer TypeStreet Address of Practice
Licensed2416 Landings Circle, NW
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
47519$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME36089Emergency Medicine - No Major Surgery80102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BLAKE MEDICAL CENTER100213
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/12/20013/25/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Spinal dural hematoma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was paralyzed from waist down prior to performance of evacuation of hematoma with laminectomies from C-6 thru T-3.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Paralysis of lower extremities-paraplegia.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/15/20022002 CA 4132
County Suit Filed inDate of Final Disposition
Manatee4/24/2006
Other Defendants Involved in this Claim
Pinnacle Medical Group
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/24/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$103,147
All Other Loss Adjustment Expense Paid$40,462
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Kevin M Johnson Medical Malpractice Lawsuits - Court Case # 2002-DR-004132

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640713
Claim Number :E02-25739-01
Date Submitted :5/19/2006
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKevinMJohnson
Insurer TypeStreet Address of Practice
Licensed7252 Manatee Avenue West
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98474$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME72325Family Physicians or General Practitioners - Minor Surgery80242

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BLAKE MEDICAL CENTER100213
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/11/20014/23/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Spinal dural hematoma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was paralyzed from waist down prior to performance of evacuation of hematoma with laminectomies from C-6 thru T-3.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Paralysis of lower extremities-paraplegia.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/21/20022002-DR-004132
County Suit Filed inDate of Final Disposition
Manatee4/24/2006
Other Defendants Involved in this Claim
Bradenton Emergency Medicine Assoc. Inc.
Pinnacle Medical Group, P.A.
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/24/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$128,174
All Other Loss Adjustment Expense Paid$96,866
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$50,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. FLORENCE HEIMBERG Medical Malpractice Lawsuits - Court Case # 09-CA-05203

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201159782
Claim Number :137337
Date Submitted :2/3/2011
 
Insurer Information
 
Insurer NameCoverage Type
NATIONAL FIRE INSURANCE COMPANY OF HARTFORDPrimary
Insurer FEINProfessional License Number
06-0464510 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTeresa Ross
Street Address
One Park Plaza P.O. Box 555
CityStateZip
NashvilleTN37202
PhoneExtFaxE-Mail Address
(615) 344 - 5804  Teresa.Ross@HCAHealthcare.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualFLORENCE HEIMBERG
Insurer TypeStreet Address of Practice
Licensed804 40th Street W
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ2074997968$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME41255Radiology - Diagnostic - No Surgery01

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
BLAKE MEDICAL CENTER100213
Location of Institutional InjuryOther Location of Institutional Injury
OtherRadiology
Date of OccurrenceDate Reported to Insurer
2/28/20072/13/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Left breast cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allegations that physician failed to properly read the 2/29/07 mammogram & left breast sonogram.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
On 2/28/07, patient had a bilateral diagnostic mammogram & left breast sonogram interpreted by named physician. On mammogram there was a new focal area of asymmetry in the mid medial posterior left breast measuring 1.9 cm.However sonogram did not correspond the findings on mammogram. She was assigned a BI-RADS of 3 follow up in 6 months. On 9/26/07 left breast mammogram & sonogram interpreted by another physician revealed asymmetry increased in size to 2 cm but was not seen on sonogram. Needle localization of left breast was positive for invasive ductal carcinoma. On 1/14/08 she underwent left total mastectomy, sentinel node biopsy & right prophylactic total mastectomy followed by reconstructive surgery at H. Lee Moffitt Cancer Center. She refused axillary node dissection & axillary radiation. Staging studies revealed right breast showed DCIS multifocal in right breast. Her breast cancer was diagnosed as Stage II & she commenced with "dose-dense" chemotherapy treatments. A 2.2 cm lesion in right lobe of liver was negative on first CT liver biopsy on 3/11/08 & positive for metastatic CA on second CT liver biopsy done on 3/31/08. Her cancer stage upgraded to a Stage IV. She had a Cyberknife procedure 8/18/08 on liver.
Principal Injury Giving Rise To The Claim
Delayed diagnosis of breast cancer resulting in spread of cancer.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/21/200909-CA-05203
County Suit Filed inDate of Final Disposition
Manatee1/24/2011
Other Defendants Involved in this Claim
Blake Medical 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
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/3/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$11,984
Injured Person's Total Non-Economic Loss$800,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$100,000$100,000
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.
 
Updates
 
No updates found.

 

 

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Dr. CAROL TOMLINSON Medical Malpractice Lawsuits - Court Case # 2006 CA 000700 B

Indemnity Paid: $901,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955594
Claim Number :33009-02
Date Submitted :11/30/2009
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCAROL TOMLINSON
Insurer TypeStreet Address of Practice
Licensed2101 61st Street
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
30433$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Registered Nurse 
License NumberSpecialty Code & ClassificationCertification Number
ARNP1105452Internal Medicine - No Surgery71510

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other LocationIMG Academy
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
9/4/20049/21/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
School physical for athletics.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/16/20062006 CA 000700 B
County Suit Filed inDate of Final Disposition
Manatee10/30/2009
Other Defendants Involved in this Claim
Soler, M.D., Joseph
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 DecisionOther
OtherSettled during trial
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/30/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$901,000
Loss Adjust Expense Paid to Defense Counsel$52,509
All Other Loss Adjustment Expense Paid$22,983
Injured Person's Total Non-Economic Loss$901,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. JUDITH L OSTROW Medical Malpractice Lawsuits - Court Case # CA08-0004695

Indemnity Paid: $525,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640053
Claim Number :251824-1
Date Submitted :3/28/2006
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKarinaLDobberstein
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0490 (260) 486 - 0808karina.dobberstein@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJUDITHLOSTROW
Insurer TypeStreet Address of Practice
Licensed2388 LANDINGS CIR
CityStateZip CodeCounty
BRADENTON FL34209-9771Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
617406$1,500,000$4,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME65491Surgery - Neurology - Including Child 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
3/31/199612/15/1997
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
MYOCARDIO INFARCTION WITH WTENT IMPLANTED
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
IGH ANTICARDIOLIPIN ANTIBODY LEVEL ORDERED
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO FOLLOWUP ON LABS AND ANTICOAGULANT THERAPY AND PERFORM CARDIAC EVALUATION
Principal Injury Giving Rise To The Claim
MYOCARDIO INFARCTION WITH ANOXIC ENCEPHALOPATHY
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/17/1998CA08-0004695
County Suit Filed inDate of Final Disposition
Manatee8/30/2005
Other Defendants Involved in this Claim
MCELVEEN, WILLIAM A
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/30/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$525,000
Loss Adjust Expense Paid to Defense Counsel$111,895
All Other Loss Adjustment Expense Paid$58,767
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
NA
 
Updates
 
No updates found.

 

 

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Dr. Gino J Sedillo Medical Malpractice Lawsuits - Court Case # 2003-CA-2302

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538550
Claim Number :17005
Date Submitted :12/2/2005
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGinoJSedillo
Insurer TypeStreet Address of Practice
Licensed316 Manatee Avenue West
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600142 02$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME76343Cardiovascular Disease - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
10/26/200010/21/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic DVT
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Use of thrombolytics
Diagnostic Code :436.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleges mismanagement of chronic DVT
Principal Injury Giving Rise To The Claim
Cerebal vascular accident
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/24/20032003-CA-2302
County Suit Filed inDate of Final Disposition
Manatee10/12/2005
Other Defendants Involved in this Claim
Bradenton Cardiology
UHS of Manatee
Manatee Memorial Hospital
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/14/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$88,140
All Other Loss Adjustment Expense Paid$55,942
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$350,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Ardeshir Khademi-Kermanshahi Medical Malpractice Lawsuits - Court Case # 2004-CA-3918

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640762
Claim Number :19653
Date Submitted :9/11/2006
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualArdeshir Khademi-Kermanshahi
Insurer TypeStreet Address of Practice
Licensed3930 8th Avenue West
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600154 03$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME80114Surgery - Neurology - Including Child51701

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
12/23/20013/15/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Epidural abscess
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :344.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose epidural abscess
Principal Injury Giving Rise To The Claim
Irreversible spinal cord damage
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/16/20042004-CA-3918
County Suit Filed inDate of Final Disposition
Manatee9/1/2006
Other Defendants Involved in this Claim
Manatee Memorial Hospital
Bhamber, MD, Davinder
Singh, MD, Satnam
Shiels, DO, Martha
Gonzalez, MD, Ralph
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/2/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$36,870
All Other Loss Adjustment Expense Paid$26,999
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$300,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:9/11/2006 3:40:53 PM
Reason for Change:Report updated to reflect Court document final disposition date of 09/01/06, Dismissal
 
Field ChangedFormer ValueNew Value
Date of Final Disposition02-MAY-0601-SEP-06

 

 

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Dr. Jennifer Vesper Medical Malpractice Lawsuits - Court Case # 07 00774h

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955151
Claim Number :33096-01
Date Submitted :10/15/2009
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJennifer Vesper
Insurer TypeStreet Address of Practice
Licensed250 Mirror Lake Drive North
CityStateZip CodeCounty
Saint PetersburgFL33701Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
17142$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME66265Dermatology - No Surgery80256

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
4/20/20049/14/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Facial legion treated with liquid nitrogen, excised and read by Pathologist as lichnoid keratosis.Lesion was melanoma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Shave biopsy and repeated treatments of liquid nitrogen.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient treated for benign facial skin lesion when she actually had malignant melanoma.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/2/200707 00774h
County Suit Filed inDate of Final Disposition
Manatee9/25/2009
Other Defendants Involved in this Claim
USF Board of Trustees for Dr. Messina
Hillstrom, M.D., Robert
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/25/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$39,369
All Other Loss Adjustment Expense Paid$18,560
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. TERESA R RAWE Medical Malpractice Lawsuits - Court Case # 06 CA 2204

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955813
Claim Number :PHY-04-39915
Date Submitted :12/21/2009
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualTERESARRAWE
Insurer TypeStreet Address of Practice
Licensed703 65TH STREET COURT N.W.
CityStateZip CodeCounty
BRADENTONFL34209Madison
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
679-2879$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS5702Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
11/14/20039/27/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
COMPLAINT OF DEHYDRATION AND VOMITING FOR 3 DAYS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ALLEGED FAILURE TO DIAGNOSE BACTERIAL MENINGITIS
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO DIAGNOSE
Principal Injury Giving Rise To The Claim
DEATH
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/2/200606 CA 2204
County Suit Filed inDate of Final Disposition
Manatee12/17/2009
Other Defendants Involved in this Claim
MANATEE MEMORIAL HOSPITAL
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
12/16/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$54,750
All Other Loss Adjustment Expense Paid$16,706
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN.
 
Updates
 
No updates found.

 

 

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Dr. Joseph Pecoraro Medical Malpractice Lawsuits - Court Case # 2007CA6417

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201059042
Claim Number :35759-01
Date Submitted :11/8/2010
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJoseph Pecoraro
Insurer TypeStreet Address of Practice
Licensed2902 59th Street West, Ste M
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
9662$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59036Surgery - General80143

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSarasota
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Hospital/InstitutionLakewood Ranch Medical Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/14/20066/13/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Laparoscopic appendectomy and perforation noted and abdominal contamination.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
On post-op day 2 patient nauseated and vomiting but not reported to physician and nasogastric tube not replaced as ordered.At 3 a.m. post-op day 3, patient vomited and no oxygen mask, aspirated and arrested.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death following unsuccessful resuscitation after aspiration.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/28/20072007CA6417
County Suit Filed inDate of Final Disposition
Manatee10/15/2010
Other Defendants Involved in this Claim
Lakewood Ranch Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
After notice of appeal is filed or post judgment relief of action is required for recovery.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/15/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$150,076
All Other Loss Adjustment Expense Paid$100,425
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. John Leikensohn Medical Malpractice Lawsuits - Court Case # 2007-CA-011800-NC

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851728
Claim Number :33616-01
Date Submitted :12/10/2008
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJohn Leikensohn
Insurer TypeStreet Address of Practice
Licensed5807 21st Avenue, West
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99366$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME36259Surgery - Plastic80156

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSarasota
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
1/10/20061/23/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Aging effect.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Face lIft and liposuction.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient died post op of pulmonary emboli.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/11/20072007-CA-011800-NC
County Suit Filed inDate of Final Disposition
Manatee11/17/2008
Other Defendants Involved in this Claim
 
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/17/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$23,458
All Other Loss Adjustment Expense Paid$4,559
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. MARK JOLLY Medical Malpractice Lawsuits - Court Case # 11CA08710

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368029
Claim Number :TH-11-LLA-119269
Date Submitted :8/22/2013
 
Insurer Information
 
Insurer NameCoverage Type
Team Health, Inc.Primary
Insurer FEINProfessional License Number
62-1562558 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathyAStockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 461 - 8130kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMARK JOLLY
Insurer TypeStreet Address of Practice
Self-Insurer4832 14TH AVENUE EAST
CityStateZip CodeCounty
BRADENTONFL34208Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6796968$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME100262Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
4/24/20119/19/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
HEADACHE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
PHYSICAL AND NEUROLOGICAL EXAMINATION
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
TENSION HEADACHE
Principal Injury Giving Rise To The Claim
SUBDURAL HEMATOMA
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/3/201211CA08710
County Suit Filed inDate of Final Disposition
Manatee7/23/2013
Other Defendants Involved in this Claim
 
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/30/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$70,673
All Other Loss Adjustment Expense Paid$39,964
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Taras Kochno Medical Malpractice Lawsuits - Court Case # 20070A715

Indemnity Paid: $437,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851642
Claim Number :34754-01
Date Submitted :12/5/2008
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualTaras Kochno
Insurer TypeStreet Address of Practice
Licensed712 Marbury Lane
CityStateZip CodeCounty
Longboat KeyFL34228Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
26584$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME61947Physical Medicine and Rehabilitation80235

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSarasota
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
11/1/200210/10/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient sought treatment for low back pain and injury to low back.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient treated conservatively with steroid and marcaine injections.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
It is alleged that the insured inappropriately administered steroid and marcaine injections.
Principal Injury Giving Rise To The Claim
Avascular necrosis of left and right femoral heads, resulting in bilateral bone grafting of left and right femoral heads.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/9/200720070A715
County Suit Filed inDate of Final Disposition
Manatee11/13/2008
Other Defendants Involved in this Claim
Sports Medicine & Rehabilitation International, LLC
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/13/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$437,500
Loss Adjust Expense Paid to Defense Counsel$51,289
All Other Loss Adjustment Expense Paid$65,806
Injured Person's Total Non-Economic Loss$437,500
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$280,703$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. William A McElveen Medical Malpractice Lawsuits - Court Case # 08-CA-12087

Indemnity Paid: $435,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955698
Claim Number :28292/28294
Date Submitted :12/8/2009
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualWilliamAMcElveen
Insurer TypeStreet Address of Practice
Licensed3930 8th Avenue W.
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600154 09$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME33896Surgery - Neurology - Including Child 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BLAKE MEDICAL CENTER100213
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
8/1/20069/19/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Meningitis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Lumbar puncture
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely perform lumbar puncture
Principal Injury Giving Rise To The Claim
Stroke
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/22/200808-CA-12087
County Suit Filed inDate of Final Disposition
Manatee12/3/2009
Other Defendants Involved in this Claim
Sinclair, DO, Douglas
Mandelblum, MD, David
Henry, DO, Michael
Paragon Contracting Services, Inc.
Bradenton Neurology, Inc.
Mandelblum and Cohen Medical Consultants, LLC
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/3/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$435,000
Loss Adjust Expense Paid to Defense Counsel$5,412
All Other Loss Adjustment Expense Paid$9,515
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$411,352$100,000
Wage Loss$200,000$200,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Roger D Gordon Medical Malpractice Lawsuits - Court Case # CA98-0004695

Indemnity Paid: $425,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537781
Claim Number :D98-19369-96
Date Submitted :10/27/2005
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRogerDGordon
Insurer TypeStreet Address of Practice
Licensed2221 59th Street, West
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
8050$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME33812Family Physicians or General Practitioners - No Surgery80239

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BLAKE MEDICAL CENTER100213
Location of Institutional InjuryOther Location of Institutional Injury
OtherLaboratory
Date of OccurrenceDate Reported to Insurer
1/29/19966/30/1998
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient sought treatment for cardiac arrest and hypoxic brain damage apparently caused by 100% occlusion of left anterior descending cardiac artery.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to obtain proper lab studies to determine appropriate coumadin level(see ans to next question for further details).
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to properly monitor plaintiff's PT & INR to adjust his coumadin to proper level; also failure to obtain laboratory data before making independent decision to discontinue patient's coumadin therapy.
Principal Injury Giving Rise To The Claim
Cardiac arrest, resulting in hypoxic brain injury and eventual death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/30/1998CA98-0004695
County Suit Filed inDate of Final Disposition
Manatee9/29/2005
Other Defendants Involved in this Claim
McElveen, M.D., W A
Calabria, M.D., Dominick
Sanchez, M.D., Eulogio
Gordon, M.D., Roger
Tami, M.D., Louis
Saef, M.D., Jerold
Ostrow, M.D., Judith
Bradenton Neurological Associates
Robert Batey Cardiology
Blake Medical Center
Columbia Blake Med 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
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/29/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$425,000
Loss Adjust Expense Paid to Defense Counsel$91,254
All Other Loss Adjustment Expense Paid$28,865
Injured Person's Total Non-Economic Loss$425,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Eric F Gestrich Medical Malpractice Lawsuits - Court Case # 2003-CA-007069

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534598
Claim Number :A02-26832-01
Date Submitted :3/10/2005
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEricFGestrich
Insurer TypeStreet Address of Practice
Licensed501 2nd Street West
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
55978$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME58605Internal Medicine - No Surgery80257

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
12/19/20018/23/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Mesenteric venous thrombosis causing small bowel necrosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged delay in treat,ment of alleged hypercoaguable state.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of hyper coaguable state.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/29/20032003-CA-007069
County Suit Filed inDate of Final Disposition
Manatee2/11/2005
Other Defendants Involved in this Claim
 
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/11/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$13,020
All Other Loss Adjustment Expense Paid$5,577
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$32,328$147,242
Other Expenses$50,540$413,026
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Jack C Jawitz Medical Malpractice Lawsuits - Court Case # 2005-CA-001603

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641829
Claim Number :A04-30731-02
Date Submitted :8/7/2006
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJackCJawitz
Insurer TypeStreet Address of Practice
Licensed2919 26th Street West
CityStateZip CodeCounty
BradentonFL34205Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
7944$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44267Dermatology - No Surgery80256

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
5/28/20025/17/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Squamous cell carcinoma of the face.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
MOHS surgery.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Facial deformity and metastasis of the cancer.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/29/20052005-CA-001603
County Suit Filed inDate of Final Disposition
Manatee7/17/2006
Other Defendants Involved in this Claim
Ray, M.D., Pranab
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/17/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$20,997
All Other Loss Adjustment Expense Paid$12,725
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Robert Williams Medical Malpractice Lawsuits - Court Case # 2012-CA-3280

Indemnity Paid: $390,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471559
Claim Number :FP4188202
Date Submitted :8/7/2014
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKelly Andrews
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(904) 360 - 3038  kandrews@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobert Williams
Insurer TypeStreet Address of Practice
Licensed3003 West Dr. Martin L. King Jr. Blvd,
CityStateZip CodeCounty
TampaFL33607Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CL100617$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87625Gastroenterology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Patient's Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherPatient's Home
Date of OccurrenceDate Reported to Insurer
4/30/20112/10/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pain in developly delayed 15 year old with history of ulcerative colitis and communication difficulty.Diagnose with ulcerative colitis and anenia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured did not have privileges at the ER where child presented.He was called and based on ER physician and pediatricians┬┐s representation of exam and symptoms, ordered prednisone and codeine, and the see pediatrician.GI (his practice Monday morning
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Death of 15 year old the evening of the next day following ER visit.Autopsy revealed portal and splenic vein thrombosis.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/21/20122012-CA-3280
County Suit Filed inDate of Final Disposition
Manatee7/14/2014
Other Defendants Involved in this Claim
 
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$390,000
Loss Adjust Expense Paid to Defense Counsel$83,957
All Other Loss Adjustment Expense Paid$73,016
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$3,535$0
Wage Loss$0$0
Other Expenses$8,000$0
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.

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Dr. M.D. Nonell Medical Malpractice Lawsuits - Court Case # 01-CA-5613

Indemnity Paid: $360,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200432516
Claim Number :40-006234
Date Submitted :8/18/2004
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualHeidi Tam
Street Address
4601 Wilshire Blvd., Suite 100
CityStateZip
Los AngelesCA90010
PhoneExtFaxE-Mail Address
(323) 930 - 7078  heidi.tam@farmersinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDavid Nonell, M.D.
Insurer TypeStreet Address of Practice
Licensed206 Second Street, East
CityStateZip CodeCounty
Bradenton FL34208Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0117776130000-0015$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME37261Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/26/20004/27/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was presented to Manatee Memorial Hospital emergency room for treatment of an injury to his left eye which had occurred when the patient came in contact with a rooster that morning.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient was taken to surgery for a ruptured globe, left eye and hyphema of the left eye.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose a ruptured left glove caused serious an permanent injury to a 2 year old male.
Principal Injury Giving Rise To The Claim
Alleged failure to diagnose a ruptured left glove caused serious an permanent injury to a 2 year old male.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/28/200101-CA-5613
County Suit Filed inDate of Final Disposition
Manatee7/23/2004
Other Defendants Involved in this Claim
The Emerg. Assoc. Medicine, Inc.
Wentland, P.A., Steven
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/11/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$360,000
Loss Adjust Expense Paid to Defense Counsel$42,379
All Other Loss Adjustment Expense Paid$11,162
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$18,245$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
This is a risk management issue. There are no risk management services available to the insured.
 
Updates
 
No updates found.

 

 

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Dr. Stephen R Wentland Medical Malpractice Lawsuits - Court Case # 01-CA-5613

Indemnity Paid: $360,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200432518
Claim Number :40-006480
Date Submitted :8/18/2004
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualHeidi Tam
Street Address
4601 Wilshire Blvd., Suite 100
CityStateZip
Los AngelesCA90010
PhoneExtFaxE-Mail Address
(323) 930 - 7078  heidi.tam@farmersinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualStephenRWentland
Insurer TypeStreet Address of Practice
Licensed1700 S. Tamiami Trail
CityStateZip CodeCounty
SarasotaFL34239Sarasota
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0117776130000-0015$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Physician Assistant 
License NumberSpecialty Code & ClassificationCertification Number
PA2421Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/26/20004/27/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was presented to Manatee Memorial Hospital emergency room for treatment of an injury to his left eye which had occurred when the patient came in contact with a rooster that morning.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient was taken to surgery for a ruptured globe, left eye and hyphema of the left eye.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose a ruptured left glove caused serious an permanent injury to a 2 year old male.
Principal Injury Giving Rise To The Claim
Alleged failure to diagnose a ruptured left glove caused serious an permanent injury to a 2 year old male.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/28/200101-CA-5613
County Suit Filed inDate of Final Disposition
Manatee7/23/2004
Other Defendants Involved in this Claim
The Emergency Associates for Medicine, Inc.
Wentland, Steven
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/11/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$360,000
Loss Adjust Expense Paid to Defense Counsel$42,379
All Other Loss Adjustment Expense Paid$11,162
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$18,245$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
This is a risk management issue.There are no risk management services available to the insured.
 
Updates
 
No updates found.

 

 

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Dr. Pranab Ray Medical Malpractice Lawsuits - Court Case # 2005-CA-001603

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641828
Claim Number :B05-30731-02
Date Submitted :8/7/2006
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPranab Ray
Insurer TypeStreet Address of Practice
Licensed401 Manatee Avenue East
CityStateZip CodeCounty
BradentonFL34208Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
5034$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME31891Radiology - therapeutic - no surgery80425

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
8/8/20021/3/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Squamous cell carcinoma of the face.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Radiation therapy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Facial deformity and metastasis of the cancer.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/29/20052005-CA-001603
County Suit Filed inDate of Final Disposition
Manatee7/17/2006
Other Defendants Involved in this Claim
Jawitz, M.D., Jack
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/17/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$300,000
Loss Adjust Expense Paid to Defense Counsel$25,413
All Other Loss Adjustment Expense Paid$25,866
Injured Person's Total Non-Economic Loss$300,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Harold Tabaie Medical Malpractice Lawsuits - Court Case # 2005-CA-545

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642531
Claim Number :126763
Date Submitted :10/6/2006
 
Insurer Information
 
Insurer NameCoverage Type
NATIONAL FIRE INSURANCE COMPANY OF HARTFORDPrimary
Insurer FEINProfessional License Number
06-0464510 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTeresa Ross
Street Address
One Park Plaza P.O. Box 555
CityStateZip
NashvilleTN37202
PhoneExtFaxE-Mail Address
(615) 344 - 5804  Teresa.Ross@HCAHealthcare.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualHarold Tabaie
Insurer TypeStreet Address of Practice
Licensed300 Riverside Drive E, Suite 2600
CityStateZip CodeCounty
BradentonFL34208Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1087750301$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS5710Cardiovascular Disease - Minor Surgery001

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
1/29/20043/29/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Thoracic outlet syndrome.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent a right subclavian bypass graft.Following surgery, patient experienced voice problems, difficulty swallowing and breathing.A CT angiography results demonstrated that the proximal anastomosis was performed on the left carotid and distal anastomosis from the right subclavian.A bronchoscopy was performed that revealed paralysis of the vocal cords.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Vocal cord paralysis.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/2/20052005-CA-545
County Suit Filed inDate of Final Disposition
Manatee9/19/2006
Other Defendants Involved in this Claim
 
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/18/2006
 
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$46,928
All Other Loss Adjustment Expense Paid$3,868
Injured Person's Total Non-Economic Loss$200,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$50,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Staff education.
 
Updates
 
No updates found.

 

 

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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Dr. NAGY FARAG Medical Malpractice Lawsuits - Court Case # 04-2405-CI-19

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745977
Claim Number :EMC-AO03-30491
Date Submitted :6/20/2007
 
Insurer Information
 
Insurer NameCoverage Type
COLUMBIA CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
47-0490411 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNAGY FARAG
Insurer TypeStreet Address of Practice
Licensed1209 BAY DRIVE
CityStateZip CodeCounty
BELLEAIR BEACHFL33786Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-1$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME81763Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
EDWARD WHITE HOSPITAL100239
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/18/20039/18/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
GREASE INJECTED INTO FINGER
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ALLEGED FAILURE TO ORDER ANTIBIOTICS, DRAIN WOUND
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
TREATMENT RELATED
Principal Injury Giving Rise To The Claim
FINGER AMPUTATION
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/22/200404-2405-CI-19
County Suit Filed inDate of Final Disposition
Manatee6/18/2007
Other Defendants Involved in this Claim
EDWARD WHITE HOSPITAL
FLORIDA EM-1 MEDICAL SERVICES. P.A.
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
1/2/2007
 
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$53,370
All Other Loss Adjustment Expense Paid$10,539
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Satnam Singh Medical Malpractice Lawsuits - Court Case # 2004-CA-3918

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200639751
Claim Number :19744
Date Submitted :9/12/2006
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSatnam Singh
Insurer TypeStreet Address of Practice
LicensedPO Box 759
CityStateZip CodeCounty
OnecoFL34264Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600294 03$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME71117Internal Medicine - No Surgery49510

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
12/23/20013/15/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Epidural abscess
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :344.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose epidural abscess
Principal Injury Giving Rise To The Claim
Irreversible spinal cord damage
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/16/20042004-CA-3918
County Suit Filed inDate of Final Disposition
Manatee9/1/2006
Other Defendants Involved in this Claim
Manatee Memorial Hospital
Shiels, DO, Martha
Bhamber, MD, Davinder
Khademi-Kermanshaki, MD, Ardeshir
Gonzalez, MD, Ralph
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/28/2006
 
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$33,725
All Other Loss Adjustment Expense Paid$18,554
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$300,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
 
Date of Change:9/12/2006 8:59:44 AM
Reason for Change:Report updated to reflect Court document final disposition date of 09/01/06, Dismissal.
 
Field ChangedFormer ValueNew Value
Date of Final Disposition21-FEB-0601-SEP-06

 

 

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Dr. Gary Dunlap Medical Malpractice Lawsuits - Court Case # 2007CA1997

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200748029
Claim Number :34588-01
Date Submitted :12/21/2007
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGary Dunlap
Insurer TypeStreet Address of Practice
Licensed6015 Pointe West Blvd.
CityStateZip CodeCounty
BradentonFL34209Manatee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98760$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME30580Surgery - Orthopedic80154

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MManatee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MANATEE MEMORIAL HOSPITAL100035
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
6/13/20058/28/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Closed displaced tibia fracture at the junction of the middle third of the tibia and fibula.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured improperly placed an intramedullary rod, resulting in compartment syndrome and vascular insufficiency.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Insured improperly placed an intramedullary rod, resulting in compartment syndrome and vascular insufficiency.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/2/20072007CA1997
County Suit Filed inDate of Final Disposition
Manatee12/3/2007
Other Defendants Involved in this Claim
 
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/3/2007
 
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$6,844
All Other Loss Adjustment Expense Paid$3,500
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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