Dr. DONNA WAGONER-STUMPE, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. DONNA WAGONER-STUMPE, MD

1950 CLEVELAND STREET

Indemnity Paid: $250,000.00

Insurer Information

Insurer Name				Coverage Type
LANCET INDEMNITY RISK RETENTION GROUP INC.				Primary
Insurer FEIN		Professional License Number
26-1479165
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	DONNA			WAGONER-STUMPE
Insurer Type		Street Address of Practice
Licensed		1950 CLEVELAND STREET
City		State	Zip Code	County
CLEARWATER		FL	33765	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
LR09098400215		$250,000		$750,000
Profession or Business			Other Profession or Business
Other			MIDWIFE
License Number		Specialty Code & Classification		Certification Number
ARNP1068122

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Polk
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Location		DR. LOUIS MICHAEL PAOLILLO OFFICE
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Other		PATIENT'S
Date of Occurrence		Date Reported to Insurer
6/21/2011		9/17/2012

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
POST BIRTH DEPRESSION
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
TREATED AND PRESCRIBED MEDIATION
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ALLEGED PRESCRIBED MEDICATION THAT LED TO HARM TO PATIENT'S SELF
Principal Injury Giving Rise To The Claim
PATIENT SET HERSELF ON FIRE
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Legal Information

Date of Suit			Circuit Court Case Number
3/18/2013			002797CI-15
County Suit Filed in			Date of Final Disposition
Pinellas			7/11/2018
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
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
7/11/2018

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

$310,745

All Other Loss Adjustment Expense Paid

$9,448

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

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

UNKNOWN

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Does Dr. DONNA WAGONER-STUMPE, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. DONNA WAGONER-STUMPE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases