Dr. JOHN CARROLL, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. JOHN CARROLL, MD

1673 Mason Ave., Suite 305

Indemnity Paid: $250,000.00

Insurer Information

Insurer Name				Coverage Type
Carroll, John				Primary
Insurer FEIN		Professional License Number
59-1208931		ME77295
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Carol			Wiseheart
Street Address
747 S. Ridgewood Ave., Suite 111
City				State	Zip
Daytona Beach				FL	32114
Phone	Ext	Fax	E-Mail Address
(386) 310 - 7969		(386) 310 - 7973	cwiseheart@halifaxins.org

Insured Information

Type	First Name		MI	Last Name
Individual	JOHN			CARROLL
Insurer Type		Street Address of Practice
Self-Insurer		1673 Mason Ave., Suite 305
City		State	Zip Code	County
Daytona Beach		FL	32115	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
01-92		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME77295		Radiology - Diagnostic - No Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Bay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
BAY MEDICAL CENTER		100026
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
8/5/2014		4/17/2015

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
aortic dissection
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT abdomen & pelvis
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
ruptured aortic dissection with hemopericardium (Debakey Type 1)
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			12/9/2015
Other Defendants Involved in this Claim
Tanner, Christopher Safarian, Edmund Kriegel, Wendy Burns, Jr, Michael Bay County Health System
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
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/9/2015

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

$27,000

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

on going risk management

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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

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

Medical Malpractice Cases