Fiscal Year

2020

Case Number

A-19253-56099

Case Status

Certified-Expired

Received Date

2019-09-16

Decision Date

2020-01-31

Refile

N

Original File Date

2020-01-01 07:57:55

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Wake Forest University Baptist Medical Center

Employer Name Slug

wake-forest-university-baptist-medical-center

Employer Address 1

Medical Center Boulevard

Employer Address 2

Employer City

Winston Salem

Employer City Slug

winston-salem

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

27157

Employer Phone

3367161194

Employer Number of Employees

15000

Employer Year Commenced Business

1975

NAICS Code

611310

FW Ownership Interest

N

Employer Contact Name

Pamela Melton

Employer Contact Address 1

Medical Center Boulevard

Employer Contact Address 2

Employer Contact City

Winston Salem

Employer Contact State/Province

NORTH CAROLINA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

27157

Employer Contact Phone

3367161194

Employer Contact Email

p.melton@wakehealth.edu

Agent Attorney Name

Jeanette K Phelan

Agent Attorney Firm Name

Constangy, Brooks, Smith Prophete, LLP

Agent Attorney Phone

9043572663

Agent Attorney Address 1

200 West Forsyth Street,

Agent Attorney Address 2

Suite 1700

Agent Attorney City

Jacksonville

Agent Attorney State/Province

FLORIDA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

32202

Agent Attorney Email

jphelan@constangy.com

PW Track Number

P10019043199648

PW SOC Code

29-1065

PW SOC Title

Pediatric Hospitalist

PW Skill Level

Level I

PW Wage

91707.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-05-21

PW Expiration Date

2019-08-19

Wage Offer From

150000.00

Wage Offer To

198378.00

Average Salary

174189.00

Wage Unit of Pay

Year

Worksite Address 1

601 N. Elm Street

Worksite Address 2

Worksite City

High Point

Worksite City Slug

high-point

Worksite State

NORTH CAROLINA

Worksite Postal Code

27262

Job Title

Pediatric Hospitalist

Job Title Slug

pediatric-hospitalist

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

North Carolina Medical License or eligibility for licensure. Board certifiedboard eligible in Pediatrics.br br Employer requires a preemployment drug test and background check.br br Employer is willing to accept any suitable combination of education, training, or experience.

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

2019-06-28

SWA Job Order End Date

2019-08-02

Sunday Edition Newspaper

Y

First Newspaper Name

The High Point Enterprise

First Advertisement Start Date

2019-07-14

Second Newspaper Ad Name

The High Point Enterprise

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-07-21

Employer Website From Date

2019-06-10

Employer Website To Date

2019-06-25

Professional Organization Ad From Date

2020-01-01 07:57:55

Professional Organization Advertisement To Date

2020-01-01 07:57:55

Job Search Website From Date

2019-06-27

Job Search Website To Date

2019-07-23

Employee Referral Program From Date

2020-01-01 07:57:55

Employee Referral Program To Date

2020-01-01 07:57:55

Local Ethnic Paper From Date

2019-07-10

Local Ethnic Paper To Date

2019-07-16

Radio/TV Ad From Date

2020-01-01 07:57:55

Radio/TV Ad To Date

2020-01-01 07:57:55

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

2002

Foreign Worker Institution of Education

MIRAJ MEDICAL COLLEGE

Foreign Worker Education Institution Address 1

PANDHARPUR ROAD

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MIRAJ

Foreign Worker Education Institution State/Province

MAHARASHTRA

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

416410

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Jeanette K Phelan

Preparer Title

Attorney

Preparer Email

jphelan@constangy.com

Employer Information Declaration Name

Pamela Melton

Employer Information Declaration Title

Program Manager, Office of International Services