Fiscal Year

2023

Case Number

A-22045-11051

Case Status

Certified

Received Date

2022-04-08

Decision Date

2022-12-29

Refile

N

Original File Date

2023-01-01 17:57:11

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PREVEA CLINIC

Employer Name Slug

prevea-clinic

Employer Address 1

2710 EXECUTIVE DRIVE

Employer Address 2

Employer City

GREEN BAY

Employer City Slug

green-bay

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

54304

Employer Phone

9204964700

Employer Number of Employees

1730

Employer Year Commenced Business

1996

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Ashok Rai

Employer Contact Address 1

2710 Executive Drive

Employer Contact Address 2

Employer Contact City

Green Bay

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

54304

Employer Contact Phone

9204051460

Employer Contact Email

Ashok.Rai@prevea.com

Agent Attorney Name

Geoffrey A Lacy

Agent Attorney Firm Name

Renning, Lewis Lacy, s.c.

Agent Attorney Phone

8448330824

Agent Attorney Address 1

205 Doty Street, Suite 201

Agent Attorney Address 2

Agent Attorney City

Green Bay

Agent Attorney State/Province

WISCONSIN

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

543015430

Agent Attorney Email

glacy@law-rll.com

PW Track Number

P10021187445606

PW SOC Code

29-1067

PW SOC Title

Surgeons

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-12-07

PW Expiration Date

2022-06-30

Wage Offer From

400000.00

Wage Offer To

480000.00

Average Salary

440000.00

Wage Unit of Pay

Year

Worksite Address 1

835 S. Van Buren Street

Worksite Address 2

Worksite City

Green Bay

Worksite City Slug

green-bay

Worksite State

WISCONSIN

Worksite Postal Code

54301

Job Title

Trauma and Acute Care Surgeon

Job Title Slug

trauma-and-acute-care-surgeon

Minimum Education

Other

Major Field of Study

Medicine

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Must be eligible for certification or certified in Surgical Critical Care by the American Board of Surgery, which requires completion of a fellowship program in Surgical Critical Care; must have or be eligible for Wisconsin Licensure, which requires completion of at least twelve 12 months of medical residency.br br PREVEA CLINIC, INC. PROVIDES PHYSICIAN SERVICES IN NUMEROUS HOSPITAL AND CLINIC SITES THROUGHOUT NORTHEASTERN AND NORTHWESTERN WISCONSIN. THE COMPANYS HEADQUARTERS IS LOCATED IN GREEN BAY, BROWN COUNTY, WISCONSIN AND THE PREVAILING WAGE APPLICATION REFLECTS THAT LOCATION AS WELL AS THE CURRENT, PRIMARY WORKSITE LOCATED IN THE CITY OF GREEN BAY, BROWN COUNTY, WISCONSIN. THIS APPLICATION ALSO INCLUDES OTHER PREVEA HOSPITAL AND CLINIC SITES CURRENTLY LOCATED IN THE FOLLOWING COUNTIES BARRON, BUFFALO, CHIPPEWA, DOOR, DUNN, EAU CLAIRE, KEWAUNEE, MARINETTE, MANITOWOC, OCONTO, OUTAGAMIE, RUSK, SHAWANO, AND SHEBOYGAN. THERE IS NO REGULAR OR FREQUENT TRAVEL; HOWEVER, THE POSITION MAY REQUIRE INTERMITTENT DOMESTIC TRAVEL TO PERFORM MEDICAL SERVICES FOR PATIENTS AT OTHER HOSPITAL ANDOR CLINIC SITES AS WELL AS POTENTIAL FUTURE PREVEA CLINIC LOCATIONS.br br ALIEN IS CERTIFIED BY THE AMERICAN BOARD OF SURGERY IN SURGERY CERTIFICATE #065213 AND IN SURGICAL CRITICAL CARE 005079. ALIEN PASSED THE QUALIFYING EXAMINATION FOR THE U.S. EDUCATION COMMISSION ON FOREIGN MEDICAL GRADUATES AND IS LICENSED TO PRACTICE MEDICINE AND SURGERY IN THE STATE OF WISCONSIN License No. 7504820.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2021-12-31

SWA Job Order End Date

2022-02-09

Sunday Edition Newspaper

Y

First Newspaper Name

Green Bay PressGazette

First Advertisement Start Date

2022-01-09

Second Newspaper Ad Name

Green Bay PressGazette

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-01-16

Employer Website From Date

2021-12-31

Employer Website To Date

2022-02-08

Professional Organization Ad From Date

2023-01-01 17:57:11

Professional Organization Advertisement To Date

2023-01-01 17:57:11

Job Search Website From Date

2021-12-31

Job Search Website To Date

2022-02-08

Employee Referral Program From Date

2023-01-01 17:57:11

Employee Referral Program To Date

2023-01-01 17:57:11

Local Ethnic Paper From Date

2023-01-01 17:57:11

Local Ethnic Paper To Date

2023-01-01 17:57:11

Radio/TV Ad From Date

2023-01-01 17:57:11

Radio/TV Ad To Date

2023-01-01 17:57:11

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

JORDAN

Foreign Worker Birth Country

JORDAN

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2007

Foreign Worker Institution of Education

THE UNIVERSITY OF JORDAN

Foreign Worker Education Institution Address 1

QUEEN RANIA STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

ALJUBEIHA, AMMAN

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

JORDAN

Foreign Worker Education Institution Postal Code

11942

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

GEOFFREY A LACY

Preparer Title

ATTORNEY

Preparer Email

GLACY@LAW-RLL.COM

Employer Information Declaration Name

ASHOK RAI

Employer Information Declaration Title

PRESIDENT CEO