Fiscal Year

2021

Case Number

A-20217-84573

Case Status

Certified

Received Date

2020-10-20

Decision Date

2021-05-05

Refile

N

Original File Date

2021-01-01 09:20:02

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORG

Employer Name Slug

trinity-health-of-new-england-provider-network-org

Employer Address 1

114 WOODLAND STREET

Employer Address 2

Employer City

HARTFORD

Employer City Slug

hartford

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6105

Employer Phone

860-714-4000

Employer Number of Employees

780

Employer Year Commenced Business

1996

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Heidi Murphy

Employer Contact Address 1

114 WOODLAND STREET

Employer Contact Address 2

Employer Contact City

HARTFORD

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6105

Employer Contact Phone

860-714-1354

Employer Contact Email

Heidi.Murphy@TrinityHealthOfNE.org

Agent Attorney Name

Andrew L Wizner

Agent Attorney Firm Name

Leete, Kosto Wizner, LLP

Agent Attorney Phone

(860) 249-8100

Agent Attorney Address 1

Leete, Kosto Wizner, LLP

Agent Attorney Address 2

999 Asylum Avenue, Suite 202

Agent Attorney City

Hartford

Agent Attorney State/Province

CONNECTICUT

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

06105-2475

Agent Attorney Email

awizner@lkwvisa.com

PW Track Number

P10020031290859

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

2020-04-24

PW Expiration Date

2020-07-23

Wage Offer From

230000.00

Wage Offer To

0.00

Average Salary

230000.00

Wage Unit of Pay

Year

Worksite Address 1

114 Woodland Street

Worksite Address 2

Worksite City

Hartford

Worksite City Slug

hartford

Worksite State

CONNECTICUT

Worksite Postal Code

6105

Job Title

Staff Physician (Nocturnist Hospitalist)

Job Title Slug

staff-physician-nocturnist-hospitalist

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

MUST BE BOARD CERTIFIED OR BOARD ELIGIBLE IN INTERNAL MEDICINE, AND LICENSED OR ELIGIBLE FOR LICENSURE TO PRACTICE MEDICINE IN CONNECTICUT. NOTE TO BOX H.1H.2 ADDITIONAL WORK LOCATION IS 1000 ASYLUM AVENUE, HARTFORD, CT 06105. NOTE TO BOX F.5. PREVAILING WAGE APPLICATION INCLUDED ADDITIONAL HARTFORD, CONNECTICUT WORK LOCATION. PREVAILING WAGE DETERMINATION IS THE SAME FOR BOTH WORK LOCATIONS.

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

2020-05-05

SWA Job Order End Date

2020-06-08

Sunday Edition Newspaper

Y

First Newspaper Name

The Hartford Courant

First Advertisement Start Date

2020-05-17

Second Newspaper Ad Name

The Hartford Courant

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-05-31

Employer Website From Date

2021-01-01 09:20:02

Employer Website To Date

2021-01-01 09:20:02

Professional Organization Ad From Date

2021-01-01 09:20:02

Professional Organization Advertisement To Date

2021-01-01 09:20:02

Job Search Website From Date

2020-05-05

Job Search Website To Date

2020-05-18

Employee Referral Program From Date

2021-01-01 09:20:02

Employee Referral Program To Date

2021-01-01 09:20:02

Local Ethnic Paper From Date

2020-05-21

Local Ethnic Paper To Date

2020-05-21

Radio/TV Ad From Date

2020-05-26

Radio/TV Ad To Date

2020-05-28

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

GEORGIA

Foreign Worker Birth Country

GEORGIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2013

Foreign Worker Institution of Education

DAVID TVILDIANI MEDICAL UNIVERSITY

Foreign Worker Education Institution Address 1

6 LUBLYANA STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

TBILISI

Foreign Worker Education Institution State/Province

TBILISI

Foreign Worker Education Institution Country

GEORGIA

Foreign Worker Education Institution Postal Code

380059

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

Andrew L Wizner

Preparer Title

Attorney

Preparer Email

awizner@lkwvisa.com

Employer Information Declaration Name

Ugochukwu Uwaoma

Employer Information Declaration Title

President of Medical Groups and Provider Services