Medical Malpractice Cases

Medical Malpractice Cases In Taylor County Florida

Dr. ANDREA LYNNE L STEPHENS Medical Malpractice Lawsuits - Court Case # 03-651

Indemnity Paid: $375,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538669
Claim Number :B03019518
Date Submitted :12/7/2005
 
Insurer Information
 
Insurer NameCoverage Type
TIG INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
94-1517098 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualBonnie Katubig
Street Address
125 S. Wacker, Suite 700
CityStateZip
ChicagoIL60606
PhoneExtFaxE-Mail Address
(312) 267 - 6054 (312) 606 - 9181bonnie_katubig@tigspecialty.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualANDREA LYNNELSTEPHENS
Insurer TypeStreet Address of Practice
Licensed20538 KEATON BEACH DR
CityStateZip CodeCounty
PERRYFL32348-8169Taylor
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
37655931$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Registered Nurse 
License NumberSpecialty Code & ClassificationCertification Number
ARNP2851872Additional Charges:Employed Nurse Anesthetists 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FTaylor
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
DOCTORS' MEMORIAL HOSPITAL (PERRY)100106
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/28/20025/30/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
LESION ON UPPER LIP
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
REMOVAL OF LESION UNDER GENERAL ANESTHESIA
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
DEATH, ALLEGEDLY FROM THE ANESTHESIA AGENT AND COUNTER AGENTS ADMINSITERED
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/17/200303-651
County Suit Filed inDate of Final Disposition
Taylor7/14/2005
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
6/20/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$375,000
Loss Adjust Expense Paid to Defense Counsel$74,787
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$35,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$15,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
MATTER WAS REPORTED TO AND REVIEWED IN A TIMELY MANNER WITH THE APPROPRIATE MANAGERS.
 
Updates
 
No updates found.

 

 

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

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Dr. Myrle Grate Medical Malpractice Lawsuits - Court Case # 08-468CA

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056284
Claim Number :36759-01
Date Submitted :2/2/2010
 
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
IndividualMyrle Grate
Insurer TypeStreet Address of Practice
Licensed1871 Professional Park Circle
CityStateZip CodeCounty
TallahasseeFL32308Leon
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
18172$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME14452Surgery - Otorhinolaryngology80159

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLeon
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
2/19/20042/25/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Allergic rhinitis, hearing loss, impacted cerumen, sinus disease and leukoplakia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured advised plaintiff to follow up with his dentist to address tooth decay in the area of identified leukoplakia.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Plaintiff failed to follow up with his dentist as requested, resulting in an approximate 2 year delay in the diagnosis of oral carcinoma.Plaintiff's allege insured was negligent for failing to timely diagnose oral carcinoma, resulting in metastatic disease and decreased survivability.
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
7/21/200808-468CA
County Suit Filed inDate of Final Disposition
Taylor1/12/2010
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
1/12/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$200,000
Loss Adjust Expense Paid to Defense Counsel$21,055
All Other Loss Adjustment Expense Paid$8,257
Injured Person's Total Non-Economic Loss$200,000
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. Eulogio Vizcarra Medical Malpractice Lawsuits - Court Case # 11-217CA

Indemnity Paid: $150,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201162486
Claim Number :10-09-0046-A
Date Submitted :5/14/2012
 
Insurer Information
 
Insurer NameCoverage Type
FD INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
20-3704679 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMelodee Dixon
Street Address
4655 Salisbury Road
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887209(904) 296 - 1013mdixon@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEulogio Vizcarra
Insurer TypeStreet Address of Practice
Licensed721 South Jefferson Street
CityStateZip CodeCounty
PerryFL32348Taylor
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
11003$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME30012Family Physicians or General Practitioners - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FTaylor
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
10/30/20093/1/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to Insured for management of long term back pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None made.
Principal Injury Giving Rise To The Claim
Alleged failure to properly monitor and prescribe pain medications
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/20/201111-217CA
County Suit Filed inDate of Final Disposition
Taylor11/18/2011
Other Defendants Involved in this Claim
Perry Medical Family Clinic, 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
11/18/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$150,000
Loss Adjust Expense Paid to Defense Counsel$8,398
All Other Loss Adjustment Expense Paid$0
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
Circumstances of this case have been discussed with the Insured and Risk Management was notified.Risk Management has discussed the case with the Insured.
 
Updates
 
 
Date of Change:5/14/2012 8:33:57 AM
Reason for Change:Additinal ALAE received.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel62108398

 

 

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Dr. Thomas Singlevich Medical Malpractice Lawsuits - Court Case # 2016-VS-0037

Indemnity Paid: $50,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886058
Claim Number : 207809
Date Submitted : 10/29/2018
 
Insurer Information
 
Insurer Name Coverage Type
PROASSURANCE INDEMNITY COMPANY, INC. Primary
Insurer FEIN Professional License Number
63-0720042  
Insurer Contact Information
Type First Name MI Last Name
Individual Denise   Stokes
Street Address
100 Brookwood Place
City State Zip
Birmingham AL 35209
Phone Ext Fax E-Mail Address
(205) 802 - 4790   (205) 802 - 4710 claimscompliancereporting@proassurance.com
 
Insured Information
 
Type First Name MI Last Name
Individual Thomas   Singlevich
Insurer Type Street Address of Practice
Licensed 850 South Collier Blvd, Apt 1702
City State Zip Code County
Marco Island FL 34145 Collier
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MP94757 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME89957 Anesthesiology  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Taylor
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
DOCTORS' MEMORIAL HOSPITAL (PERRY) 100106
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
10/15/2013 10/11/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Small bowel Obstruction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Intubation
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Prolonged hospitalization and ARDS
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/22/2016 2016-VS-0037
County Suit Filed in Date of Final Disposition
Taylor 1/22/2016
Other Defendants Involved in this Claim
Anesthesiology Associates of Tallahassee Inc.
McGowan, Genevieve B
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
7/24/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $50,000
Loss Adjust Expense Paid to Defense Counsel $93,410
All Other Loss Adjustment Expense Paid $13,659
Injured Person's Total Non-Economic Loss $50,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured discussed case with defense counsel, insurance personnel, and medical experts.
 
Updates
 
 
Date of Change: 8/6/2018 4:22:10 PM
Reason for Change: Updated ALAE information
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 0 12654
Amount of Loss Adjustment Expense Paid to Defense Counsel 0 86944
 
Date of Change: 9/24/2018 12:58:38 PM
Reason for Change: Updated ALAE information
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 86944 93410
All Other Loss Adjustment Expense Paid 12654 13659
 
Date of Change: 9/28/2018 9:35:09 AM
Reason for Change: updated alae
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 13659 13614
Amount of Loss Adjustment Expense Paid to Defense Counsel 93410 93244
 
Date of Change: 10/29/2018 2:21:27 PM
Reason for Change: updated alae
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 13614 13659
Amount of Loss Adjustment Expense Paid to Defense Counsel 93244 93410

 

 

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Dr. Thomas E Singlevich Medical Malpractice Lawsuits - Court Case # 16-CA-000037

Indemnity Paid: $50,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886155
Claim Number : 1028959-01
Date Submitted : 8/15/2018
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Thomas E Singlevich
Insurer Type Street Address of Practice
Licensed 611 Zeagler Dr
City State Zip Code County
Palatka FL 32177 Putnam
Policy Number Per Claim Policy Limits Aggregate Policy Limits
753609 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME89957 Anesthesiology  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Taylor
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
DOCTORS' MEMORIAL HOSPITAL (PERRY) 100106
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
10/17/2013 10/9/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Small bowel obstruction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Anesthesia for abdominal exploration surgery
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to have aspiration precautions in place
Principal Injury Giving Rise To The Claim
Aspiration of gastric contents, placement of ET tube and transfer
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/22/2016 16-CA-000037
County Suit Filed in Date of Final Disposition
Taylor 7/31/2018
Other Defendants Involved in this Claim
McGown CRNA, Genevieve B
Anesthesiology Associates of Tallahassee
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
7/30/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $50,000
Loss Adjust Expense Paid to Defense Counsel $28,683
All Other Loss Adjustment Expense Paid $10,870
Injured Person's Total Non-Economic Loss $50,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
No updates found.

 

 

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Dr. GENEVIEVE MCGOWAN Medical Malpractice Lawsuits - Court Case # 16CA000037

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886624
Claim Number : SHI-15-319235
Date Submitted : 10/5/2018
 
Insurer Information
 
Insurer Name Coverage Type
CONTINENTAL CASUALTY COMPANY Primary
Insurer FEIN Professional License Number
36-2114545  
Insurer Contact Information
Type First Name MI Last Name
Individual Kathy A Stockton
Street Address
1900 W. LOOP S., STE. 1500
City State Zip
Houston TX 77027
Phone Ext Fax E-Mail Address
(713) 935 - 2404   (713) 461 - 8130 kathy_stockton@westernlitigation.com
 
Insured Information
 
Type First Name MI Last Name
Individual GENEVIEVE   MCGOWAN
Insurer Type Street Address of Practice
Licensed 333 N. BYRON BUTLER PARKWAY
City State Zip Code County
PERRY FL 32347 Taylor
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HAZ 4032218126-0 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Other CRNA
License Number Specialty Code & Classification Certification Number
ARNP2878422    

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Taylor
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
DOCTORS' MEMORIAL HOSPITAL (PERRY) 100106
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
10/15/2013 10/14/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
BOWEL OBSTRUCTION
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SURGERY PERFORMED
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ARDS
Principal Injury Giving Rise To The Claim
PROLONGED TREATMENT
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/22/2016 16CA000037
County Suit Filed in Date of Final Disposition
Taylor 10/5/2018
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
Disposed of by Court
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 $53,641
All Other Loss Adjustment Expense Paid $17,511
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
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. KEITH MOORE Medical Malpractice Lawsuits - Court Case # 12-487CA

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573698
Claim Number : 107-007359
Date Submitted : 3/7/2015
 
Insurer Information
 
Insurer Name Coverage Type
LEXINGTON INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
25-1149494  
Insurer Contact Information
Type First Name MI Last Name
Individual Cyndie   Fernandez
Street Address
3650 Brookside Pkwy
City State Zip
Alpharetta GA 30023
Phone Ext Fax E-Mail Address
(678) 240 - 1613     cyndie.fernandez@aig.com
 
Insured Information
 
Type First Name MI Last Name
Individual KEITH   MOORE
Insurer Type Street Address of Practice
Licensed 333 N Bryon Butler Pkwy - Doctors Memorial Hospital Inc.
City State Zip Code County
Perry FL 32347 Taylor
Policy Number Per Claim Policy Limits Aggregate Policy Limits
6795916 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME110779 Surgery - Gastroenterology  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Taylor
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
DOCTORS' MEMORIAL HOSPITAL (PERRY) 100106
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
11/7/2011 11/11/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
During endoscopy procedure, plaintiff suffered a hypoxic event due to a laryngospasm resulting in aspiration pneumonia two days later. Alleged loss of oxygen to the brain at hypoxic event.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
During endoscopy procedure, plaintiff suffered a hypoxic event due to a laryngospasm resulting in aspiration pneumonia two days later. Alleged loss of oxygen to the brain at hypoxic event.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
During endoscopy procedure, plaintiff suffered a hypoxic event due to a laryngospasm resulting in aspiration pneumonia two days later. Alleged loss of oxygen to the brain at hypoxic event.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/13/2012 12-487CA
County Suit Filed in Date of Final Disposition
Taylor 3/3/2015
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
No Payment Made
Court Decision Other
Other No payment made
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 $595
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Better Access Patients
 
Updates
 
No updates found.

 

 

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

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Dr. Ghulam Mohammed Medical Malpractice Lawsuits - Court Case # 4:17-cv-001210RH-CAS

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885089
Claim Number : 1043499-01
Date Submitted : 9/27/2018
 
Insurer Information
 
Insurer Name Coverage Type
NATIONAL FIRE & MARINE INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
47-6021331  
Insurer Contact Information
Type First Name MI Last Name
Individual Taffie   Hosler
Street Address
5814 Reed Rd
City State Zip
Fort Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 492 - 4061     taffie.hosler@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Ghulam   Mohammed
Insurer Type Street Address of Practice
Licensed 333 N Byron Butler Pkwy
City State Zip Code County
Perry FL 32347 Taylor
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HN004730 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME63587 Hospitalists  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Taylor
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Location Taylor County Jail
Name of Institution Code
DOCTORS' MEMORIAL HOSPITAL (PERRY) 100106
Location of Institutional Injury Other Location of Institutional Injury
Other Taylor County Jail
Date of Occurrence Date Reported to Insurer
7/27/2013 5/10/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient taken to county jail after arrest
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Examined, patient not to need treatment
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
42 USC 1983 Civil Right violation, deliberate indifference to medical needs.
Principal Injury Giving Rise To The Claim
Broken rib, bleeding, abrasion, pain
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/10/2017 4:17-cv-001210RH-CAS
County Suit Filed in Date of Final Disposition
Taylor 3/26/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
During appeal.
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 $21,544
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
 
Date of Change: 9/27/2018 2:55:16 PM
Reason for Change: ALE update (loss adjusted/counsel)
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 8720 21544

 

 

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