Department File Number : | M201988853 |
Claim Number : | 1707190115304.00 |
Date Submitted : | 5/21/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PREFERRED PROFESSIONAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
47-0580977 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Teri | Zealand | |||
Street Address | |||||
11605 Miracle Hills Dr Ste 200 | |||||
City | State | Zip | |||
Omaha | NE | 68154 | |||
Phone | Ext | Fax | E-Mail Address | ||
(402) 965 - 3224 | TZealand@ppicins.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | James | Militello | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1975 Old Moltrie Rd | ||||
City | State | Zip Code | County | ||
St Augustine | FL | 32086 | St. Johns | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
SPP0043148 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO1809 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | St. Johns | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Physician Office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
7/3/2017 | 1/11/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Bone Spurs | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Insured performed a cheilectomy | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
alleged negligent surgery | |||||
Principal Injury Giving Rise To The Claim | |||||
Infection post surgery | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 5/20/2019 | ||||
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 | |||||
No Payment Made | |||||
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 | $199,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Doctor is now deceased. |
Updates | |
No updates found. |
Does Dr. JAMES MILITELLO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAMES MILITELLO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).