Department File Number : | M201472336 |
Claim Number : | 99999999 |
Date Submitted : | 10/10/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Echols, Eddy L | Primary | ||||
Insurer FEIN | Professional License Number | ||||
99999 | ME89159 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Marcia | Lijewski | |||
Street Address | |||||
1940 West Bay Drive, Ste 4 | |||||
City | State | Zip | |||
Largo | FL | 33770 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 585 - 3161 | (727) 518 - 1659 | mlijewski@medcf.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Eddy | L | Echols | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 13020 Telecom Parkway North | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33637 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME89159 | Surgery - Orthopedic |
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 | ||||
BRANDON REGIONAL HOSPITAL | 100243 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/16/2013 | 1/17/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Distal Biceps Tendon Rupture | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Intra-Op, Surgeon noted end of tendon was macerated and couldn't be fully extended to the radial tuberosity. Patient's arm flexed in order to re-attach tendon, and then splinted to maintain repair. Tendon rupture reoccurred and during second repair tendon was also macerated and retracted, thus limiting mobility for reattachment. Alleged radial nerve laceration occurred during this second repair. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Nerve laceration | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 9/15/2014 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After arbitration is initiated or prior to suit being filed. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
9/15/2014 |
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 | $25,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Additional education and training provided |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Department File Number : | M201782048 |
Claim Number : | 1038447-01 |
Date Submitted : | 8/28/2017 |
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 | Eddy | Echols | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 13020 N Telecom Pkwy | ||||
City | State | Zip Code | County | ||
Temple Terrace | FL | 33637 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
813433 | $3,000,000 | $5,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME89159 | Surgery - Orthopedic |
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 | ||||
BRANDON REGIONAL HOSPITAL | 100243 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
6/6/2015 | 9/13/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Cellulitis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
referred to occupational therapy, referred to pain management | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
failure to diagnose and treat dislocation of the distal radial ulnar joint of the right arm | |||||
Principal Injury Giving Rise To The Claim | |||||
surgical repair with deformity of the joint | |||||
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 | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 5/1/2017 | ||||
Other Defendants Involved in this Claim | |||||
Musculoskeletal Institute Chartered dba Florida Orthopaedic Brandon Regional Hospital | |||||
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? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $190,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $3,942 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,582 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $100,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | |||||||
Date of Change: | 8/28/2017 3:49:26 PM | ||||||
Reason for Change: | ALE UPDATE 8/28/2017 | ||||||
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*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. EDDY L ECHOLS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. EDDY L ECHOLS, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).