Fiscal Year

2020

Case Number

A-19360-99876

Case Status

Certified

Received Date

2020-01-20

Decision Date

2020-05-26

Refile

N

Original File Date

2020-01-01 08:26:58

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

University Medical Group, LLC

Employer Name Slug

university-medical-group-llc

Employer Address 1

1350 Walton Way

Employer Address 2

Employer City

Augusta

Employer City Slug

augusta

Employer State

GEORGIA NA

Employer State Slug

georgia-na

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

30901

Employer Phone

7067744211

Employer Number of Employees

130

Employer Year Commenced Business

2011

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Becky Echols

Employer Contact Address 1

1350 Walton Way

Employer Contact Address 2

Employer Contact City

Augusta

Employer Contact State/Province

GEORGIA NA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

30901

Employer Contact Phone

7067744211

Employer Contact Email

bechols@uh.org

Agent Attorney Name

Stephen M Perlitsh

Agent Attorney Firm Name

Law Office of Stephen M. Perlitsh

Agent Attorney Phone

(212) 840-3878

Agent Attorney Address 1

110 West 34th Street

Agent Attorney Address 2

Suite 300

Agent Attorney City

New York

Agent Attorney State/Province

NEW YORK

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

10001

Agent Attorney Email

linette@perlitsh.com

PW Track Number

P10019035357766

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

69077.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-05-16

PW Expiration Date

2019-08-14

Wage Offer From

214999.98

Wage Offer To

0.00

Average Salary

214999.98

Wage Unit of Pay

Year

Worksite Address 1

447 North Bel Air Road

Worksite Address 2

Worksite City

Evans

Worksite City Slug

evans

Worksite State

GEORGIA

Worksite Postal Code

30809

Job Title

Physician

Job Title Slug

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

Board Certified BC in Internal Medicine or completion of post graduate training in internal medicine. Must qualify for Georgia medical license.br br Modifying box H.5A, employer will accept Board Certification in Internal Medicine, or certification of completion of training in lieu of completing the full 36 month training.

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

2019-08-12

SWA Job Order End Date

2019-09-20

Sunday Edition Newspaper

Y

First Newspaper Name

Augusta Chronicle

First Advertisement Start Date

2019-08-11

Second Newspaper Ad Name

Augusta Chronicle

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-08-18

Employer Website From Date

2019-11-20

Employer Website To Date

2019-12-06

Professional Organization Ad From Date

2019-09-03

Professional Organization Advertisement To Date

2019-09-03

Job Search Website From Date

2019-08-30

Job Search Website To Date

2019-09-06

Employee Referral Program From Date

2020-01-01 08:26:58

Employee Referral Program To Date

2020-01-01 08:26:58

Local Ethnic Paper From Date

2020-01-01 08:26:58

Local Ethnic Paper To Date

2020-01-01 08:26:58

Radio/TV Ad From Date

2020-01-01 08:26:58

Radio/TV Ad To Date

2020-01-01 08:26:58

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

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

Foreign Worker Education Institution Address 1

4TH T BLOCK, JAYANAGAR

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BANGALORE

Foreign Worker Education Institution State/Province

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

Stephen M Perlitsh

Preparer Title

Attorney

Preparer Email

linette@perlitsh.com

Employer Information Declaration Name

William L Farr

Employer Information Declaration Title

VP of Medical AffairsChief Medical Officer