All Details of Green Card Application:

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Case Number: A-21092-69812

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21092-69812

Case Status

Withdrawn

Received Date

2021-04-16

Decision Date

2021-04-16

Refile

N

Original File Date

2021-01-01 09:14:11

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

INTENSIVE CARE CONSORTIUM, INC

Employer Name Slug

intensive-care-consortium-inc

Employer Address 1

2000 HEALTH PARK DRIVE 1S

Employer Address 2

Employer City

BRENTWOOD

Employer City Slug

brentwood

Employer State

TENNESSEE

Employer State Slug

tennessee

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

37027

Employer Phone

(615) 372-6733

Employer Number of Employees

206

Employer Year Commenced Business

2005

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Lana Henry

Employer Contact Address 1

2000 HEALTH PARK DRIVE 1S

Employer Contact Address 2

Employer Contact City

Brentwood

Employer Contact State/Province

TENNESSEE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

37027

Employer Contact Phone

6153726733

Employer Contact Email

lana.henry@hcahealthcare.com

Agent Attorney Name

Sherry L Neal

Agent Attorney Firm Name

Hammond Law Group LLC

Agent Attorney Phone

5132876856

Agent Attorney Address 1

441 Vine Street

Agent Attorney Address 2

Ste 3200

Agent Attorney City

Cincinnati

Agent Attorney State/Province

OHIO

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

45202

Agent Attorney Email

sln@hammondlawgroup.com

PW Track Number

P10020283874713

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-03-10

PW Expiration Date

2021-06-30

Wage Offer From

410000.00

Wage Offer To

0.00

Average Salary

410000.00

Wage Unit of Pay

Year

Worksite Address 1

350 Hospital Drive

Worksite Address 2

Worksite City

Macon

Worksite City Slug

macon

Worksite State

GEORGIA

Worksite Postal Code

31217

Job Title

Physician (Intensivist)

Job Title Slug

physician-intensivist

Minimum Education

Other

Major Field of Study

Medicine/ Surgery

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

Y

Accept Alternative Occupation Months

12

Accept Alternative Job Title

Fellow

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Requires a Doctor or Medicine or foreign equivalent to medical degree; three 3 year medical residency, at least 1 year fellowship in critical care, board certified or board eligible in critical care. Must be licensed in the state or immediately eligible for licensure.

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

2020-11-06

SWA Job Order End Date

2020-12-06

Sunday Edition Newspaper

Y

First Newspaper Name

The Telegraph

First Advertisement Start Date

2021-01-24

Second Newspaper Ad Name

The Telegraph

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-01-31

Employer Website From Date

2021-02-16

Employer Website To Date

2021-03-10

Professional Organization Ad From Date

2021-01-01 09:14:11

Professional Organization Advertisement To Date

2021-01-01 09:14:11

Job Search Website From Date

2021-02-16

Job Search Website To Date

2021-03-12

Employee Referral Program From Date

2021-01-01 09:14:11

Employee Referral Program To Date

2021-01-01 09:14:11

Local Ethnic Paper From Date

2021-04-09

Local Ethnic Paper To Date

2021-04-10

Radio/TV Ad From Date

2021-01-01 09:14:11

Radio/TV Ad To Date

2021-01-01 09:14:11

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SOUTH KOREA

Foreign Worker Birth Country

SOUTH KOREA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2012

Foreign Worker Institution of Education

CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE

Foreign Worker Education Institution Address 1

6 MUNHWADONG, JUNGKU

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

DAEJEON

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

SOUTH KOREA

Foreign Worker Education Institution Postal Code

301747

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Sherry L Neal

Preparer Title

Attorney

Preparer Email

sln@hammondlawgroup.com

Employer Information Declaration Name

Lana Henry

Employer Information Declaration Title

Chief Operating Officer