Department File Number : | M201576564 |
Claim Number : | 4528389446US |
Date Submitted : | 12/16/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-0687550 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Barbara | Southwell | |||
Street Address | |||||
1200 Abernathy Road | |||||
City | State | Zip | |||
Atlanta | GA | 30328 | |||
Phone | Ext | Fax | E-Mail Address | ||
(770) 671 - 2292 | Barbara.Southwell@aig.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | James | Lukes | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1619 6th St SE | ||||
City | State | Zip Code | County | ||
Winter Haven | FL | 33880 | Polk | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
018586671 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Chiropractic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
CH5654 | Physicians - No Surgery |
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 | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Newberry Clinic | ||||
Date of Occurrence | Date Reported to Insurer | ||||
1/17/2012 | 4/2/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Clmt was diagnosed with cancer | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
x-rays | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to identify lesion on x-ray fils R/I delayed cancer diagnosis and need for extensive spinal surgery | |||||
Principal Injury Giving Rise To The Claim | |||||
cancer | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/1/2014 | 2014-CA-002912 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Polk | 12/22/2014 | ||||
Other Defendants Involved in this Claim | |||||
Fernandez, Raymond Ross, Susan Shah, Paresh Advance Technological Radiology, P.A. Healthcare Staffing Associates, LLC Medicus Healthcare Solutions, LLC King, Dennise E Strasser, Stephan F Lake Wales Hospital Corporation | |||||
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 | |||||
1/27/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $12,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $19,267 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $5,844 | ||||||||||||||||||||
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 | |||||||||||||||||||||
N/A |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201678471 |
Claim Number : | 501-031573 |
Date Submitted : | 5/18/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-0687550 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Darra | Thomas-Davis | |||
Street Address | |||||
17200 W 119th st | |||||
City | State | Zip | |||
Olathe | KS | 66061 | |||
Phone | Ext | Fax | E-Mail Address | ||
(913) 495 - 6569 | darra.thomasdavis@aig.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JAMES | LUKES | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 6301 NW 5th Way #2800 | ||||
City | State | Zip Code | County | ||
Fort Lauderdale | FL | 33309 | Alachua | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
018586671 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Chiropractic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
CH5654 | Acupuncture - Other Than Acupuncture Anesthesia |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Alachua | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
WINTER HAVEN HOSPITAL | 100052 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/1/2014 | 4/9/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Diagnosis related - Cancer - 39-year-old male alleges failure to identify mass R/I delayed diagnosis and treatment of spinal tumor. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Diagnosis related - Cancer - 39-year-old male alleges failure to identify mass R/I delayed diagnosis and treatment of spinal tumor. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Diagnosis related - Cancer - 39-year-old male alleges failure to identify mass R/I delayed diagnosis and treatment of spinal tumor. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/16/2015 | 2014-CA-002912 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Polk | 11/19/2015 | ||||
Other Defendants Involved in this Claim | |||||
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 | ||||
Directed verdict for plaintiff. | |||||
Arbitration | |||||
Award for plaintiff. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $12,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $31,767 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $5,844 | ||||||||||||||||||||
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 | |||||||||||||||||||||
N/A |
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.
Does Dr. JAMES LUKES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAMES LUKES, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).