Fiscal Year

2020

Case Number

A-19262-60353

Case Status

Certified-Expired

Received Date

2019-11-01

Decision Date

2020-04-02

Refile

N

Original File Date

2020-01-01 08:01:00

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

HOSPITALIST SERVICES OF NEVADAMANDAVIA, P.C.

Employer Name Slug

hospitalist-services-of-nevadamandavia-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

865-769-6680

Employer Number of Employees

6

Employer Year Commenced Business

2015

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Tiffany Goins

Employer Contact Address 1

265 Brookview Centre Way,

Employer Contact Address 2

Employer Contact City

knoxville

Employer Contact State/Province

TENNESSEE Tennessee

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

37919

Employer Contact Phone

8882032264

Employer Contact Email

Tiffany_Goins@teamhealth.com

Agent Attorney Name

Rachel Bus

Agent Attorney Firm Name

Law Offices of Brelje and Associates P.C.

Agent Attorney Phone

6235365750

Agent Attorney Address 1

3080 N Litchfield Road

Agent Attorney Address 2

Agent Attorney City

Goodyear

Agent Attorney State/Province

ARIZONA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

85395

Agent Attorney Email

rbus@breljelaw.com

PW Track Number

P10018348611496

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

N/A

PW Wage

100.00

PW Unit of Pay

Hour

PW Wage Source

OES

PW Determination Date

2019-04-15

PW Expiration Date

2019-07-14

Wage Offer From

171.00

Wage Offer To

0.00

Average Salary

171.00

Wage Unit of Pay

Hour

Worksite Address 1

2001 Errecart Boulevard

Worksite Address 2

Worksite City

Elko

Worksite City Slug

elko

Worksite State

NEVADA

Worksite Postal Code

89801

Job Title

Hospitalist Physician

Job Title Slug

hospitalist-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

REQUIREMENTS Medical Degree or foreign equivalent; Eligible for state medical license; Board Certified or Eligible BCE in Internal or Family Medicine; Background Check 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

2019-06-18

SWA Job Order End Date

2019-07-24

Sunday Edition Newspaper

N

First Newspaper Name

Las Vegas Review Journal

First Advertisement Start Date

2019-06-23

Second Newspaper Ad Name

Las Vegas Review Journal

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-06-30

Employer Website From Date

2020-01-01 08:01:00

Employer Website To Date

2020-01-01 08:01:00

Professional Organization Ad From Date

2020-01-01 08:01:00

Professional Organization Advertisement To Date

2020-01-01 08:01:00

Job Search Website From Date

2019-06-23

Job Search Website To Date

2019-07-22

Employee Referral Program From Date

2020-01-01 08:01:00

Employee Referral Program To Date

2020-01-01 08:01:00

Local Ethnic Paper From Date

2019-06-22

Local Ethnic Paper To Date

2019-06-22

Radio/TV Ad From Date

2019-07-25

Radio/TV Ad To Date

2019-07-26

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

2011

Foreign Worker Institution of Education

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES M.S. RAMAIAH MEDICAL COLLEGE

Foreign Worker Education Institution Address 1

4TH T BLOCK, 4TH T BLOCK EAST, PATTABHIRAMA NAGAR, JAYANAGAR

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BANGALORE

Foreign Worker Education Institution State/Province

KARNATAKA

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

560041

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

Rachel Bus

Preparer Title

Attorney

Preparer Email

rbus@breljelaw.com

Employer Information Declaration Name

Debbie Rosenberg

Employer Information Declaration Title

Authorized Signatory