All Details of Green Card Application:
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Case Number: A-20167-65919
Fiscal year: 2021
Fiscal Year
2021
Case Number
A-20167-65919
Case Status
Certified-Expired
Received Date
2020-06-17
Decision Date
2020-12-31
Refile
N
Original File Date
2021-01-01 08:56:32
Previous SWA Case Number State
Schedule A Sheepherder
N
Employer Name
PACIFIC MED NEPHROLOGY
Employer Name Slug
pacific-med-nephrology
Employer Address 1
736 ROUTE 4
Employer Address 2
SUITE 103
Employer City
SINAJANA
Employer City Slug
sinajana
Employer State
GUAM
Employer State Slug
guam
Employer Country
UNITED STATES OF AMERICA
Employer Postal Code
96910
Employer Phone
6716497232
Employer Number of Employees
23
Employer Year Commenced Business
1999
NAICS Code
621111
FW Ownership Interest
N
Employer Contact Name
Mersedeh Maddah
Employer Contact Address 1
736 Route 4
Employer Contact Address 2
Suite 103
Employer Contact City
Sinajana
Employer Contact State/Province
GUAM
Employer Contact Country
UNITED STATES OF AMERICA
Employer Contact Postal Code
96910
Employer Contact Phone
6716497232 112
Employer Contact Email
m.mersedeh@pacmedguam.com
Agent Attorney Name
Ladd A BAUMANN
Agent Attorney Firm Name
BAUMANN, KONDAS and XU, LLC
Agent Attorney Phone
671-477-9084
Agent Attorney Address 1
238 Archbishop Flores Street
Agent Attorney Address 2
Suite 903 DNA Building
Agent Attorney City
Hagatna
Agent Attorney State/Province
GUAM
Agent Attorney Country
UNITED STATES OF AMERICA
Agent Attorney Postal Code
96910
Agent Attorney Email
Ladd.Baumann@baumannguam.com
PW Track Number
P10019141508544
PW SOC Code
29-1069
PW SOC Title
Physicians and Surgeons, All Other
PW Skill Level
Level II
PW Wage
143229.00
PW Unit of Pay
Year
PW Wage Source
OES
PW Determination Date
2019-09-05
PW Expiration Date
2020-06-30
Wage Offer From
200000.00
Wage Offer To
0.00
Average Salary
200000.00
Wage Unit of Pay
Year
Worksite Address 1
736 Route 4
Worksite Address 2
Suite 103
Worksite City
Sinajana
Worksite City Slug
sinajana
Worksite State
GUAM
Worksite Postal Code
96910
Job Title
Physician (Nephrologist)
Job Title Slug
physician-nephrologist
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
Internal Medicine residency; Nephrology fellowship; Board certifiedeligible in Internal Medicine; Guam Medical 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
2020-03-19
SWA Job Order End Date
2020-04-18
Sunday Edition Newspaper
Y
First Newspaper Name
Pacific Daily News
First Advertisement Start Date
2020-03-22
Second Newspaper Ad Name
Pacific Daily News
Second Advertisement Type
Newspaper
Second Ad Start Date
2020-03-29
Employer Website From Date
2020-05-19
Employer Website To Date
2020-05-19
Professional Organization Ad From Date
2021-01-01 08:56:32
Professional Organization Advertisement To Date
2021-01-01 08:56:32
Job Search Website From Date
2020-03-29
Job Search Website To Date
2020-03-29
Employee Referral Program From Date
2021-01-01 08:56:32
Employee Referral Program To Date
2021-01-01 08:56:32
Local Ethnic Paper From Date
2020-04-20
Local Ethnic Paper To Date
2020-04-20
Radio/TV Ad From Date
2021-01-01 08:56:32
Radio/TV Ad To Date
2021-01-01 08:56:32
Employer Received Payment
N
Posted Notice at Worksite
Y
Layoff in Past Six Months
N
Country of Citizenship
THAILAND
Foreign Worker Birth Country
THAILAND
Class of Admission
H-1B
Foreign Worker Education
Other
Foreign Worker Information: Major
MEDICINE
Foreign Worker Years of Education Completed
2002
Foreign Worker Institution of Education
MADIHOL UNIVERSITY
Foreign Worker Education Institution Address 1
999 PHUTTHAMONTHON 4 ROAD
Foreign Worker Education Institution Address 2
SALAYA
Foreign Worker Education Institution City
NAKHON PATHOM
Foreign Worker Education Institution State/Province
Foreign Worker Education Institution Country
THAILAND
Foreign Worker Education Institution Postal Code
73170
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
Ladd A Baumann
Preparer Title
Lawyer
Preparer Email
Ladd.Baumann@baumannguam.com
Employer Information Declaration Name
Saied SAFABKHSH
Employer Information Declaration Title
MD, FACP, FASN, President