Fiscal Year

2020

Case Number

A-19339-91047

Case Status

Certified

Received Date

2020-02-03

Decision Date

2020-06-04

Refile

N

Original File Date

2020-01-01 08:22:14

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

BRISTOL HOSPITAL MULTISPECIALTY GROUP, INC

Employer Name Slug

bristol-hospital-multispecialty-group-inc

Employer Address 1

32 VALLEY STREET

Employer Address 2

LEVEL D

Employer City

BRISTOL

Employer City Slug

bristol

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6010

Employer Phone

(860) 585-3469

Employer Number of Employees

205

Employer Year Commenced Business

2011

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Jessica Vinhateiro

Employer Contact Address 1

32 Valley Street

Employer Contact Address 2

Level D

Employer Contact City

Bristol

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6010

Employer Contact Phone

(860) 585-3469

Employer Contact Email

jvinhate@bristolhospital.org

Agent Attorney Name

JAN M PEDERSON

Agent Attorney Firm Name

MAGGIO KATTAR

Agent Attorney Phone

2024830053104

Agent Attorney Address 1

1800 Massachusetts Ave, NW

Agent Attorney Address 2

Suite 300

Agent Attorney City

Washington

Agent Attorney State/Province

DISTRICT OF COLUMBIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

20036

Agent Attorney Email

jan@maggio-kattar.com

PW Track Number

P10019212031394

PW SOC Code

29-1062

PW SOC Title

FAMILY MEDICINE PHYSICIAN

PW Skill Level

Level I

PW Wage

164029.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-11-25

PW Expiration Date

2020-06-30

Wage Offer From

193000.00

Wage Offer To

0.00

Average Salary

193000.00

Wage Unit of Pay

Year

Worksite Address 1

41 BREWSTER ROAD

Worksite Address 2

SEE H.14 FOR ADDITIONAL DETAILS

Worksite City

BRISTOL

Worksite City Slug

bristol

Worksite State

CONNECTICUT

Worksite Postal Code

6010

Job Title

FAMILY MEDICINE PHYSICIAN

Job Title Slug

family-medicine-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

Must have M.D. degree or foreign degree equivalent; full and unrestricted CT medical license; must be BE in Family Medicine.br br CONT. FROM H.1, WORK LOCATIONSbr 102 NORTH STREET, BRISTOL, CT 06010;br 464 WOLCOTT ROAD, WOLCOTT, CT 06716

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

2019-12-05

SWA Job Order End Date

2020-01-04

Sunday Edition Newspaper

Y

First Newspaper Name

NEW BRITAIN HERALD

First Advertisement Start Date

2019-08-18

Second Newspaper Ad Name

NEW BRITAIN HERALD

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-08-25

Employer Website From Date

2020-01-01 08:22:14

Employer Website To Date

2020-01-01 08:22:14

Professional Organization Ad From Date

2020-01-01 08:22:14

Professional Organization Advertisement To Date

2020-01-01 08:22:14

Job Search Website From Date

2019-08-23

Job Search Website To Date

2019-08-29

Employee Referral Program From Date

2020-01-01 08:22:14

Employee Referral Program To Date

2020-01-01 08:22:14

Local Ethnic Paper From Date

2019-08-21

Local Ethnic Paper To Date

2019-08-21

Radio/TV Ad From Date

2019-08-24

Radio/TV Ad To Date

2019-08-25

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

UNIVERSITY OF SANTO TOMAS FACULTY OF MEDICINE SURGERY

Foreign Worker Education Institution Address 1

ST. MARTIN DE PORRES BUILDING, UST, SAMPALOC

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MANILA

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

PHILIPPINES

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

JAN M PEDERSON

Preparer Title

ATTORNEY

Preparer Email

jan@maggio-kattar.com

Employer Information Declaration Name

EDWARD HENRY

Employer Information Declaration Title

EXECUTIVE DIRECTOR