| Department File Number : | M201576646 |
| Claim Number : | 1425297 (Cheong, MD) |
| Date Submitted : | 12/21/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| H. Lee Moffitt Cancer Center & Research Institute, Inc. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 3238634 | 4334 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Brenda | C | Warren | ||
| Street Address | |||||
| 17107 Longacres Lane | |||||
| City | State | Zip | |||
| Odessa | FL | 33556 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (813) 792 - 1588 | (321) 972 - 0122 | brendawarren@hamlinandburton.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | David | Cheong | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 12902 Magnolia Drive | ||||
| City | State | Zip Code | County | ||
| Tampa | FL | 33612 | Hillsborough | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PFP_1000044_P-7 | $500,000 | $1,500,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME87819 | Surgery - oncology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Hillsborough | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| H. LEE MOFFITT CANCER AND RESRCH. INST. | 110009 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/11/2013 | 10/22/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Osteosarcoma of the left proximal tibia in a 13 year old male. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Osteosarcoma with left proximal tibia replacement and total knee arthroplasty and rotational muscle flap with extension. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No misdiagnosis made. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Excessive external rotation of the left foot due to positioning of tibial;knee prosthesis. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 12/22/2014 | 111111 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Highlands | 12/10/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| H. Lee Moffitt Cancer Center & Research Institute, Inc. | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 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 | $44,000 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $3,000 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| A computer program to assist surgeons in alignment of prosthetics in this procedure is under development. At this time, there is no objective means of positioning prosthetic hardware. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
Does Dr. DAVID CHEONG, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DAVID CHEONG, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).