Department File Number : | M201576195 |
Claim Number : | 1014231-02 |
Date Submitted : | 10/27/2015 |
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 | Susan | K | Spielman | ||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Fort Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0340 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Joseph | E | Tienstra | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 8791 Conference Drive | ||||
City | State | Zip Code | County | ||
Fort Myers | FL | 33919 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
720053 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME45066 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
LEE MEMORIAL HOSPITAL-HEALTHPARK | 120005 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/17/2011 | 6/24/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Abdominal pain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Review of CTs | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to diagnose bile leak | |||||
Principal Injury Giving Rise To The Claim | |||||
Additional surgery; pain and suffering | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/6/2013 | 2013 CA 003060 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lee | 10/23/2015 | ||||
Other Defendants Involved in this Claim | |||||
O'Konski MD, Mark S Digestive Health Physicians PL Independent Physicians Associates of Lee County Inc Dadrat MD, Andree A Herrerra MD, Juan G Yudelman MD, Paul L Healthpark Medical Center Florida Radiology Consultants PA Sonn DO, Jeffrey R Anani MD, Ashraf M Cogent Healthcare of Fort Myers LLC Necula MD, Monica C Earle-Green MD, Karen A Roncal MD, Noel O Hejmej MD, Ryszarda M | |||||
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 | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Other | Dismissal | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $48,346 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $22,443 | ||||||||||||||||||||
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. |
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Does Dr. JOSEPH E TIENSTRA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOSEPH E TIENSTRA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).