Fiscal Year

2020

Case Number

A-19353-97875

Case Status

Certified

Received Date

2019-12-20

Decision Date

2020-05-01

Refile

N

Original File Date

2020-01-01 08:25:55

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Williamston Hosp Corp

Employer Name Slug

williamston-hosp-corp

Employer Address 1

310 S. McCaskey Road

Employer Address 2

Employer City

Williamston

Employer City Slug

williamston

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

27892

Employer Phone

252-809-6300

Employer Number of Employees

250

Employer Year Commenced Business

1998

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Tammy Manning

Employer Contact Address 1

310 S. McCaskey Road

Employer Contact Address 2

Employer Contact City

Williamston

Employer Contact State/Province

NORTH CAROLINA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

27892

Employer Contact Phone

252-809-6122

Employer Contact Email

tammy_manning@quorumhealth.com

Agent Attorney Name

Elissa Taub

Agent Attorney Firm Name

Siskind Susser PC

Agent Attorney Phone

9016826455

Agent Attorney Address 1

1028 Oakhaven Rd

Agent Attorney Address 2

Agent Attorney City

Memphis

Agent Attorney State/Province

TENNESSEE

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

38119

Agent Attorney Email

etaub@visalaw.com

PW Track Number

P10019157852492

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-09-23

PW Expiration Date

2020-06-30

Wage Offer From

145.00

Wage Offer To

0.00

Average Salary

145.00

Wage Unit of Pay

Hour

Worksite Address 1

Martin General Hospital

Worksite Address 2

310 S. McCaskey Road

Worksite City

Williamston

Worksite City Slug

williamston

Worksite State

NORTH CAROLINA

Worksite Postal Code

27892

Job Title

Hospitalist Physician

Job Title Slug

hospitalist-physician

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

Requires M.D., D.O. or foreign equivalent; completion of residency in Internal Medicine or Family Medicine; and eligibility for medical licensure in the state of North Carolina.

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

2019-10-03

SWA Job Order End Date

2019-11-05

Sunday Edition Newspaper

Y

First Newspaper Name

Daily Deflector

First Advertisement Start Date

2019-06-30

Second Newspaper Ad Name

Daily Deflector

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-07-07

Employer Website From Date

2020-01-01 08:25:55

Employer Website To Date

2020-01-01 08:25:55

Professional Organization Ad From Date

2019-07-23

Professional Organization Advertisement To Date

2019-07-30

Job Search Website From Date

2019-07-30

Job Search Website To Date

2019-10-04

Employee Referral Program From Date

2020-01-01 08:25:55

Employee Referral Program To Date

2020-01-01 08:25:55

Local Ethnic Paper From Date

2020-01-01 08:25:55

Local Ethnic Paper To Date

2020-01-01 08:25:55

Radio/TV Ad From Date

2020-01-01 08:25:55

Radio/TV Ad To Date

2020-01-01 08:25:55

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

2006

Foreign Worker Institution of Education

UNIVERSITY COLLEGE OF MEDICAL SCIENCES

Foreign Worker Education Institution Address 1

DILSHOD GARDEN

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

DELHI

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

INDIA

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

Elissa Taub

Preparer Title

Senior Counsel

Preparer Email

etaub@visalaw.com

Employer Information Declaration Name

John Jacobson

Employer Information Declaration Title

CFO Interim CEO