Department File Number : | M201887318 |
Claim Number : | 1033255-02 |
Date Submitted : | 12/17/2018 |
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 | Michelle | Pierron | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(800) 463 - 3776 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Frank | C | Taylor | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 100 S Ashley Dr | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33602 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HN006099 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME81085 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BAYFRONT MEDICAL CENTER | 100032 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/26/2014 | 4/19/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Knee injury during football game | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Read of intraoperative arteriogram | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to timely and appropriately report a critical radiology finding on an intraoperative arteriogram study | |||||
Principal Injury Giving Rise To The Claim | |||||
Above the knee amputation of right leg | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/11/2016 | 522016-CA-007206 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 12/12/2018 | ||||
Other Defendants Involved in this Claim | |||||
Johns Hopkins All Childrens Hospital Inc Pediatric Physician Services Inc Castillo, Julio C Locumtenums.com, LLC Bahar-Posey, Laleh Hahn, Gregory V Gregory V Hahn, MD PA Passerotti, Tracy J Childrens Orthopaedic & Scoliosis Surgery Associates LLP Bayfront HMA Medical Center, LLC Rehnke, Ernest C Ernest C Rehnke MD FACS PLLC Epstein, Steven G Florida imagining associates dba Allegiant MD of Florida | |||||
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 | |||||
12/12/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $2,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $20,730 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $11,674 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $2,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
NA |
Updates | |
No updates found. |
Does Dr. FRANK C TAYLOR, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. FRANK C TAYLOR, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).