Department File Number : | M201678741 |
Claim Number : | 1027635-01 |
Date Submitted : | 2/22/2017 |
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 | GAGANDEEP | S | MANGAT | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 4800 Park Blvd | ||||
City | State | Zip Code | County | ||
Pinellas Park | FL | 33781 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
742720 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME87888 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Gateway Radiology | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/29/2013 | 8/14/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Dense breasts | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Screening mammogram | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to diagnose breast cancer | |||||
Principal Injury Giving Rise To The Claim | |||||
Increased morbidity; pain and suffering | |||||
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 | ||||
1/13/2016 | 16-000233-CI-19 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 5/26/2016 | ||||
Other Defendants Involved in this Claim | |||||
Gateway Radiology Consultants PA dba Gateway Radiology | |||||
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 | |||||
5/25/2016 |
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 | $26,436 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $11,926 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $200,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
N/A |
Updates | ||||||||||
Date of Change: | 8/11/2016 11:40:43 AM | |||||||||
Reason for Change: | ALE UPDATED 8/11/2016 | |||||||||
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Date of Change: | 2/22/2017 9:31:00 AM | |||||||||
Reason for Change: | ALE UPDATE 2/22/2017 | |||||||||
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Department File Number : | M201679324 |
Claim Number : | 1020299-01 |
Date Submitted : | 2/20/2017 |
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 | Gagandeep | S | Mangat | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 4800 Park Blvd | ||||
City | State | Zip Code | County | ||
Pinellas Park | FL | 33781 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
742720 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME87888 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Osceola | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL - KISSIMMEE | 100089 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
7/18/2010 | 7/24/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Headaches following auto accident | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
CT and MRI of brain | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to diagnose | |||||
Principal Injury Giving Rise To The Claim | |||||
Deterioration of condition; increased morbidity | |||||
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 | ||||
11/7/2014 | 2014-CA-003262MP | ||||
County Suit Filed in | Date of Final Disposition | ||||
Osceola | 7/27/2016 | ||||
Other Defendants Involved in this Claim | |||||
Neurology and Physical Therapy Centers of Tampa Bay Florida Hospital / Kissimmee Garner MD, Rosanna Neurology Consultants of Central Florida Inc Mamsa MD, Abdul Moskovitz MD, David Gateway Radiology Consultants PA | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
During trial, but before court verdict. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
7/25/2016 |
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 | $79,510 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $69,408 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $50,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
N/A |
Updates | ||||||||||
Date of Change: | 2/20/2017 3:12:48 PM | |||||||||
Reason for Change: | ALE UPDATE 2/20/2017 | |||||||||
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Does Dr. GAGANDEEP S MANGAT, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GAGANDEEP S MANGAT, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).