Fiscal Year

2020

Case Number

A-19224-43209

Case Status

Certified-Expired

Received Date

2019-08-15

Decision Date

2019-11-13

Refile

N

Original File Date

2020-01-01 07:49:04

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Northwest Physicians Associates, P.C.

Employer Name Slug

northwest-physicians-associates-pc

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

109

Employer Year Commenced Business

2000

NAICS Code

621399

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

Mark P Popiel

Agent Attorney Firm Name

Malik Popiel, P.C.

Agent Attorney Phone

(716) 689-7770

Agent Attorney Address 1

7606 Transit Road, Suite 200

Agent Attorney Address 2

Agent Attorney City

Buffalo

Agent Attorney State/Province

NEW YORK

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

14221

Agent Attorney Email

mpopiel@malikpopiel.com

PW Track Number

P10018271222786

PW SOC Code

29-1062

PW SOC Title

Emergency Staff Physician

PW Skill Level

Level I

PW Wage

154190.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-01-31

PW Expiration Date

2019-06-30

Wage Offer From

330000.00

Wage Offer To

0.00

Average Salary

330000.00

Wage Unit of Pay

Year

Worksite Address 1

505 South 336th Street, Suite 350

Worksite Address 2

Worksite City

Federal Way

Worksite City Slug

federal-way

Worksite State

WASHINGTON

Worksite Postal Code

98003

Job Title

Emergency Staff Physician

Job Title Slug

emergency-staff-physician

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

Possess Board Certification or Board Eligibility in Family Medicine, as well as possess a Washington State Physician License. Travel to various hospital sites as per patient needs also required.

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

2019-04-09

SWA Job Order End Date

2019-05-14

Sunday Edition Newspaper

Y

First Newspaper Name

The Seattle Times

First Advertisement Start Date

2019-03-17

Second Newspaper Ad Name

The Seattle Times

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-03-24

Employer Website From Date

2020-01-01 07:49:04

Employer Website To Date

2020-01-01 07:49:04

Professional Organization Ad From Date

2020-01-01 07:49:04

Professional Organization Advertisement To Date

2020-01-01 07:49:04

Job Search Website From Date

2019-03-18

Job Search Website To Date

2019-03-25

Employee Referral Program From Date

2019-05-07

Employee Referral Program To Date

2019-05-21

Local Ethnic Paper From Date

2019-03-22

Local Ethnic Paper To Date

2019-03-22

Radio/TV Ad From Date

2020-01-01 07:49:04

Radio/TV Ad To Date

2020-01-01 07:49:04

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2003

Foreign Worker Institution of Education

KASTURBA MEDICAL COLLEGE, MANIPAL

Foreign Worker Education Institution Address 1

STATE HIGHWAY 65, MADHAV NAGAR

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MANIPAL

Foreign Worker Education Institution State/Province

KARNATAKA

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

576104

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

Mark P Popiel

Preparer Title

Partner

Preparer Email

mpopiel@malikpopiel.com

Employer Information Declaration Name

Robert Frantz

Employer Information Declaration Title

President