Department File Number : | M201782908 |
Claim Number : | 1036132-02 |
Date Submitted : | 9/25/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NATIONAL LIABILITY & FIRE INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2403971 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Michelle | Pierron | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(800) 463 - 3776 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Locke | W | Barber | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 100 S Ashley Dr, Ste 1500 | ||||
City | State | Zip Code | County | ||
Tampa | FL | 34653 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HN006099 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS12632 | Radiology - Diagnostic - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
MEDICAL CENTER OF TRINITY WEST PASCO CAMPUS | 23960110 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
7/8/2014 | 8/1/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Left sided weakness | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Read of MRI scan | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Delay in interpreting and reporting results | |||||
Principal Injury Giving Rise To The Claim | |||||
Quadriplegia | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/19/2016 | 2015CA1443WS | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pasco | 6/8/2017 | ||||
Other Defendants Involved in this Claim | |||||
Nuss MD, Jennifer Johnstone, MD, Caroline Florida Em-I Medical Services PA Baxley Emergency Physicians LLC Shah, MD, Siddharth H Siddaharth H Shah, MD PA d/b/a Bay View Neurology Aggarwal, MD, Shiv K Sgiv Aggarwal, MD PA New Port Richey Hospital, Inc d/b/a/ Medical Center of Trini AllegiantMD, Inc | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within 90 days of suit being filed. | |||||
Final Method of Claim Disposition | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Summary judgment for the defendant. | |||||
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 | $13,101 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $5,192 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
N/A |
Updates | ||||||||||
Date of Change: | 9/25/2018 4:22:55 PM | |||||||||
Reason for Change: | ALE update | |||||||||
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Does Dr. LOCKE W BARBER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LOCKE W BARBER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).