M200429863

Insurer Information

Insurer Name				Coverage Type
ST. PAUL FIRE & MARINE INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
41-0406690
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	PAT			KANE
Street Address
3230 W. Commercial Blvd., Suite 390
City				State	Zip
Ft. Lauderdale				FL	33309
Phone	Ext	Fax	E-Mail Address
(954) 677 - 3324(954) 677 - 3324		(954) 735 - 9028(954) 735 - 9028

Insured Information

Type	First Name		MI	Last Name
Individual	DR. E.			VIZCARRA
Insurer Type		Street Address of Practice
Licensed		105 WESTPARK DRIVE
City		State	Zip Code	County
BRENTWOOD		TN	37027	Out of state
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0572MA2037		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME30012		Emergency Medicine - No Major Surgery		01

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Prison		Columbia Correctional Institute
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
11/1/1997		7/19/2000

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Plaintiff injured his neck and Dr. Vizcarra treated him with pain medication. Mr. LaPuma submitted a grievance when Dr. Vizcarra failed to authorize a neurological consult. Allegations are that in retaliation for grievances filed by plaintiff, Dr. Vizcarra attempted to blind him by shining a bright light in his eyes and attempted to secretly inject him with an unknown substance
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
N/A
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
N/A
Principal Injury Giving Rise To The Claim
Failure to diagnose and timely treat neck fracture
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay.

Legal Information

Date of Suit	Circuit Court Case Number
2/16/1998	400cv48-RH
County Suit Filed in	Date of Final Disposition
Taylor	3/4/2004
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Disposed of by Court
Court Decision	Other
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?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

$65,251

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

None known

Updates

No updates found.