Fiscal Year

2021

Case Number

A-20294-11898

Case Status

Certified

Received Date

2020-10-20

Decision Date

2021-05-07

Refile

N

Original File Date

2021-01-01 09:21:23

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PARKVIEW HOSPITAL, INC

Employer Name Slug

parkview-hospital-inc

Employer Address 1

2200 RANDALLIA 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

46805

Employer Phone

2602661455

Employer Number of Employees

11000

Employer Year Commenced Business

1941

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Angela Pulcini

Employer Contact Address 1

3942 New Vision 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

46845

Employer Contact Phone

2602660386

Employer Contact Email

angela.pulcini@parkview.com

Agent Attorney Name

Laura E Shepard

Agent Attorney Firm Name

Shepard Immigration Law

Agent Attorney Phone

3174147926

Agent Attorney Address 1

14074 Trade Center Drive

Agent Attorney Address 2

Suite 235

Agent Attorney City

Fishers

Agent Attorney State/Province

INDIANA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

46038

Agent Attorney Email

les_attorney@lsimmlaw.com

PW Track Number

P10020093453782

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

2020-07-13

PW Expiration Date

2021-06-30

Wage Offer From

108.09

Wage Offer To

500.00

Average Salary

304.05

Wage Unit of Pay

Hour

Worksite Address 1

2200 Randallia Drive

Worksite Address 2

Worksite City

Fort Wayne

Worksite City Slug

fort-wayne

Worksite State

INDIANA

Worksite Postal Code

46805

Job Title

Hospitalist

Job Title Slug

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

Indiana Medical Licensure, and Board Eligibility or Certification in Internal Medicine OR Board Certification in Family Medicine plus a minimum of 9 months completion of a 12month Hospital Medicine fellowship program.br br Multiple positions are available.

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

2020-05-29

SWA Job Order End Date

2020-07-02

Sunday Edition Newspaper

Y

First Newspaper Name

Fort Wayne Journal Gazette

First Advertisement Start Date

2020-07-05

Second Newspaper Ad Name

Fort Wayne Journal Gazette

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-07-12

Employer Website From Date

2020-07-05

Employer Website To Date

2020-09-08

Professional Organization Ad From Date

2020-06-29

Professional Organization Advertisement To Date

2020-07-29

Job Search Website From Date

2020-07-05

Job Search Website To Date

2020-07-18

Employee Referral Program From Date

2021-01-01 09:21:23

Employee Referral Program To Date

2021-01-01 09:21:23

Local Ethnic Paper From Date

2021-01-01 09:21:23

Local Ethnic Paper To Date

2021-01-01 09:21:23

Radio/TV Ad From Date

2021-01-01 09:21:23

Radio/TV Ad To Date

2021-01-01 09:21:23

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SYRIA

Foreign Worker Birth Country

SYRIA

Class of Admission

TPS

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2010

Foreign Worker Institution of Education

DAMASCUS UNIVERSITY FACULTY OF MEDICINE

Foreign Worker Education Institution Address 1

ALMAZZEH STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

DAMASCUS

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

SYRIA

Foreign Worker Education Institution Postal Code

0

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

Laura E Shepard

Preparer Title

Attorney

Preparer Email

les_attorney@lsimmlaw.com

Employer Information Declaration Name

David Storey

Employer Information Declaration Title

Chief Legal and Compliance Officer