Fiscal Year

2020

Case Number

A-20085-34841

Case Status

Certified

Received Date

2020-03-30

Decision Date

2020-08-06

Refile

N

Original File Date

2020-01-01 19:56:37

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Hospital Medicine Services of Maine, LLC

Employer Name Slug

hospital-medicine-services-of-maine-llc

Employer Address 1

265 Brookview Centre Way, Suite 400

Employer Address 2

Employer City

Knoxville

Employer City Slug

knoxville

Employer State

TENNESSEE

Employer State Slug

tennessee

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

37919

Employer Phone

8656931000

Employer Number of Employees

17

Employer Year Commenced Business

2018

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Tiffany Goins

Employer Contact Address 1

265 Brookview Centre Way, Suite 400

Employer Contact Address 2

Employer Contact City

Knoxville

Employer Contact State/Province

TENNESSEE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

37919

Employer Contact Phone

8656931000

Employer Contact Email

tiffany_goins@teamhealth.com

Agent Attorney Name

Elissa J Taub

Agent Attorney Firm Name

Siskind Susser PC

Agent Attorney Phone

9016826455

Agent Attorney Address 1

1028 Oakhaven Road

Agent Attorney Address 2

Agent Attorney City

Memphis

Agent Attorney State/Province

TENNESSEE

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

38119

Agent Attorney Email

etaub@visalaw.com

PW Track Number

P10019312134899

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

169894.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-03-03

PW Expiration Date

2020-06-30

Wage Offer From

306371.00

Wage Offer To

0.00

Average Salary

306371.00

Wage Unit of Pay

Year

Worksite Address 1

Northern Light Sebasticook Hospital

Worksite Address 2

447 North Main Street

Worksite City

Pittlsfield

Worksite City Slug

pittlsfield

Worksite State

MAINE

Worksite Postal Code

4967

Job Title

Hospitalist Physician

Job Title Slug

hospitalist-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

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

Requires M.D., D.O., or foreign equivalent; completion of residency in Internal Medicine or Family Medicine; eligibility for medical licensure in Maine.

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

2019-11-25

SWA Job Order End Date

2019-12-30

Sunday Edition Newspaper

Y

First Newspaper Name

Maine Sunday Telegram

First Advertisement Start Date

2019-12-01

Second Newspaper Ad Name

Maine Sunday Telegram

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-12-08

Employer Website From Date

2020-01-01 19:56:37

Employer Website To Date

2020-01-01 19:56:37

Professional Organization Ad From Date

2019-12-17

Professional Organization Advertisement To Date

2019-12-24

Job Search Website From Date

2019-12-03

Job Search Website To Date

2020-01-29

Employee Referral Program From Date

2020-01-01 19:56:37

Employee Referral Program To Date

2020-01-01 19:56:37

Local Ethnic Paper From Date

2020-01-01 19:56:37

Local Ethnic Paper To Date

2020-01-01 19:56:37

Radio/TV Ad From Date

2020-01-01 19:56:37

Radio/TV Ad To Date

2020-01-01 19:56:37

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

SAUDI ARABIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

ALFAISAL UNIVERSITY COLLEGE OF MEDICINE

Foreign Worker Education Institution Address 1

TAKHASUSI ROAD

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

RIYADH

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

SAUDI ARABIA

Foreign Worker Education Institution Postal Code

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

Elissa Taub

Preparer Title

Senior Counsel

Preparer Email

etaub@visalaw.com

Employer Information Declaration Name

Linda Thacker

Employer Information Declaration Title

Authorized Signatory