Dr. OMAR SHUAYB, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. OMAR SHUAYB, MD

12900 Cortez Blvd., Ste 210

Indemnity Paid: $32,500.00

Insurer Information

Insurer Name				Coverage Type
NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA				Primary
Insurer FEIN		Professional License Number
25-0687550
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Connie		L	Peters
Street Address
PO Box52810
City				State	Zip
Bellevue				WA	98015
Phone	Ext	Fax	E-Mail Address
(425) 636 - 1000	1012	(916) 781 - 5795	cpeters@intercareins.com

Insured Information

Type	First Name		MI	Last Name
Individual	Omar			Shuayb
Insurer Type		Street Address of Practice
Licensed		12900 Cortez Blvd., Ste 210
City		State	Zip Code	County
Spring Hill		FL	34613	Hernando
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DNU 018148951		$10,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN17388		Dentists - N.O.C.		80211

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Hernando
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		Dental Office
Date of Occurrence		Date Reported to Insurer
1/11/2010		2/24/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented in need of extraction and bridgework.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Extraction of tooth #13 and placement of bridge spanning teeth #'s 11-14 was performed.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis
Principal Injury Giving Rise To The Claim
The patient alleges that a fragment of a dental temporary bridge was force into the sinu, causing infecetion.
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash.No delay.

Legal Information

Date of Suit			Circuit Court Case Number
1/27/2011			CA11-168
County Suit Filed in			Date of Final Disposition
Hernando			8/29/2011
Other Defendants Involved in this Claim

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
8/29/2011

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$32,500

Loss Adjust Expense Paid to Defense Counsel

$6,176

All Other Loss Adjustment Expense Paid

$840

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

No safety managment steps taken

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Does Dr. OMAR SHUAYB, MD have any medical malpractice cases, lawsuits, or complaints?

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