Fiscal Year

2020

Case Number

A-19295-73896

Case Status

Certified

Received Date

2019-12-12

Decision Date

2020-04-28

Refile

N

Original File Date

2020-01-01 08:11:00

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

ST. CROIX REGIONAL MEDICAL CENTER

Employer Name Slug

st-croix-regional-medical-center

Employer Address 1

235 E STATE STREET

Employer Address 2

Employer City

ST. CROIX FALLS

Employer City Slug

st-croix-falls

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

54024

Employer Phone

715-483-0256

Employer Number of Employees

772

Employer Year Commenced Business

1919

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Andrea Jerrick

Employer Contact Address 1

235 E State Street

Employer Contact Address 2

Employer Contact City

St. Croix Falls

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

54024

Employer Contact Phone

715-483-0256

Employer Contact Email

andrea.jerrick@scrmc.org

Agent Attorney Name

Jeanne G Kildow

Agent Attorney Firm Name

Borene Law Firm, P.A.

Agent Attorney Phone

6123210082

Agent Attorney Address 1

3950 IDS Center

Agent Attorney Address 2

80 South 8th Street

Agent Attorney City

Minneapolis

Agent Attorney State/Province

MINNESOTA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

55402

Agent Attorney Email

jkildow@borene.com

PW Track Number

P10019017317853

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

Level I

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-05-15

PW Expiration Date

2019-08-13

Wage Offer From

208000.00

Wage Offer To

0.00

Average Salary

208000.00

Wage Unit of Pay

Year

Worksite Address 1

235 E State Street

Worksite Address 2

also known as 235 State Street

Worksite City

St. Croix Falls

Worksite City Slug

st-croix-falls

Worksite State

WISCONSIN

Worksite Postal Code

54024

Job Title

Pain Management Physician

Job Title Slug

pain-management-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

Minimum requirements Medical degree U.S. or foreign equivalent; Completion of an ACGMEaccredited fellowship program in pain medicine BC or BE; Must meet all requirements for issuance of a license to practice medicine by the State of Wisconsin DSPS; and, A current unrestricted DEA license is also required.br br Dr. Vittal Ramachandra Nagar meets all requirements for the position. He received his MBBS U.S. equivalent medical degree from Rajiv Gandhi University of Health Sciences in India, and completed his residency in Physical Medicine and Rehabilitation at the University of Kentucky College of Medicine in 2016. He subsequently completed his fellowship in Pain Medicine at the University of Kentucky College of Medicine, and is board certified in Physical Medicine and Rehabilitation and in Pain Medicine. He is licensed to practice medicine in the State of Wisconsin and has a current unrestricted DEA license.

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

2019-08-10

SWA Job Order End Date

2019-09-13

Sunday Edition Newspaper

Y

First Newspaper Name

Star Tribune

First Advertisement Start Date

2019-08-18

Second Newspaper Ad Name

Star Tribune

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-08-25

Employer Website From Date

2019-08-08

Employer Website To Date

2019-09-16

Professional Organization Ad From Date

2020-01-01 08:11:00

Professional Organization Advertisement To Date

2020-01-01 08:11:00

Job Search Website From Date

2019-08-10

Job Search Website To Date

2019-08-23

Employee Referral Program From Date

2019-08-08

Employee Referral Program To Date

2019-09-16

Local Ethnic Paper From Date

2019-08-15

Local Ethnic Paper To Date

2019-08-15

Radio/TV Ad From Date

2020-01-01 08:11:00

Radio/TV Ad To Date

2020-01-01 08:11:00

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

2004

Foreign Worker Institution of Education

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA J.S.S. MEDICAL COLLEGE

Foreign Worker Education Institution Address 1

4TH T BLOCK, JAYANAGAR

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BENGALURU

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

Jeanne G Kildow

Preparer Title

Attorney at Law

Preparer Email

jkildow@borene.com

Employer Information Declaration Name

David M Dobosenski

Employer Information Declaration Title

President and CEO