Dr. JOHN A FETCHERO, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. JOHN A FETCHERO, MD

2862 Country Club Blvd.

Indemnity Paid: $250,000.00

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	cwehner@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	JOHN		A	FETCHERO
Insurer Type		Street Address of Practice
Licensed		2862 Country Club Blvd.
City		State	Zip Code	County
Orange Park		FL	32073	Clay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1600632 02		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
OS3853		Otorhinolaryngology - Minor Surgery		1875

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Clay
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
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
11/15/2002		4/19/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Squamous cell carcinoma of nasopharnyx
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT scan and MRI
Diagnostic Code :		234.9
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of squamous cell carcinoma
Principal Injury Giving Rise To The Claim
Squamous cell carcinoma of nasopharnyx
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Legal Information

Date of Suit			Circuit Court Case Number
8/10/2004			04-0050555 CA
County Suit Filed in			Date of Final Disposition
Duval			6/13/2005
Other Defendants Involved in this Claim
Fetchero, DO, James W
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
6/13/2005

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

$40,987

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

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Does Dr. JOHN A FETCHERO, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JOHN A FETCHERO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).