Fiscal Year

2021

Case Number

A-20115-46868

Case Status

Certified-Expired

Received Date

2020-05-17

Decision Date

2020-11-09

Refile

N

Original File Date

2021-01-01 08:49:51

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Hospital Care Group PC

Employer Name Slug

hospital-care-group-pc

Employer Address 1

6604 Constitution Drive

Employer Address 2

Employer City

Fort Wayne

Employer City Slug

fort-wayne

Employer State

INDIANA

Employer State Slug

indiana

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

46804

Employer Phone

260-344-4035

Employer Number of Employees

35

Employer Year Commenced Business

2012

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Mark Drapala

Employer Contact Address 1

6604 Constitution Drive

Employer Contact Address 2

Employer Contact City

Fort Wayne

Employer Contact State/Province

INDIANA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

46804

Employer Contact Phone

260-344-4035

Employer Contact Email

mdrapala@hospitalcaregroup.net

Agent Attorney Name

Elissa Taub

Agent Attorney Firm Name

Siskind Susser, PC

Agent Attorney Phone

9016826455

Agent Attorney Address 1

1028 Oakhaven Road

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

P10019312134942

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

72051.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-03-03

PW Expiration Date

2020-06-30

Wage Offer From

240000.00

Wage Offer To

0.00

Average Salary

240000.00

Wage Unit of Pay

Year

Worksite Address 1

Cameron Memorial Community Hospital

Worksite Address 2

416 E Maumee St.

Worksite City

Angola

Worksite City Slug

angola

Worksite State

INDIANA

Worksite Postal Code

46703

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 Indiana.

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

2020-01-20

SWA Job Order End Date

2020-02-24

Sunday Edition Newspaper

Y

First Newspaper Name

Angola Herald Republican

First Advertisement Start Date

2020-01-19

Second Newspaper Ad Name

Angola Herald Republican

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-01-26

Employer Website From Date

2021-01-01 08:49:51

Employer Website To Date

2021-01-01 08:49:51

Professional Organization Ad From Date

2020-02-11

Professional Organization Advertisement To Date

2020-02-18

Job Search Website From Date

2020-01-29

Job Search Website To Date

2020-03-05

Employee Referral Program From Date

2021-01-01 08:49:51

Employee Referral Program To Date

2021-01-01 08:49:51

Local Ethnic Paper From Date

2021-01-01 08:49:51

Local Ethnic Paper To Date

2021-01-01 08:49:51

Radio/TV Ad From Date

2021-01-01 08:49:51

Radio/TV Ad To Date

2021-01-01 08:49:51

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

JORDAN

Foreign Worker Birth Country

JORDAN

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

JORDAN UNIVERSITY OF SCIENCE AND TECHNOLOGY

Foreign Worker Education Institution Address 1

AR RAMTHA 3030

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

RAMTHA

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

JORDAN

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

Mark Drapala

Employer Information Declaration Title

CEO