All Details of Green Card Application:
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Case Number: A-21032-47676
Fiscal year: 2021
Fiscal Year
2021
Case Number
A-21032-47676
Case Status
Certified
Received Date
2021-02-05
Decision Date
2021-07-27
Refile
N
Original File Date
2021-01-01 09:53:46
Previous SWA Case Number State
Schedule A Sheepherder
N
Employer Name
Lutheran Medical Group, LLC
Employer Name Slug
lutheran-medical-group-llc
Employer Address 1
7916 W. Jefferson Blvd.
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
260-434-6309
Employer Number of Employees
1048
Employer Year Commenced Business
2009
NAICS Code
62111
FW Ownership Interest
N
Employer Contact Name
Kelly Deraney
Employer Contact Address 1
7916 W. Jefferson Blvd.
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
260-435-6926
Employer Contact Email
kelly_deraney@lhn.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
P10020219755235
PW SOC Code
29-1062
PW SOC Title
Family and General Practitioners
PW Skill Level
Level I
PW Wage
95139.00
PW Unit of Pay
Year
PW Wage Source
OES
PW Determination Date
2021-01-13
PW Expiration Date
2021-06-30
Wage Offer From
200000.00
Wage Offer To
0.00
Average Salary
200000.00
Wage Unit of Pay
Year
Worksite Address 1
5717 S Anthony Blvd
Worksite Address 2
Suite 300
Worksite City
Fort Wayne
Worksite City Slug
fort-wayne
Worksite State
INDIANA
Worksite Postal Code
46802
Job Title
Family Medicine Physician
Job Title Slug
family-medicine-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 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
2020-08-20
SWA Job Order End Date
2020-09-22
Sunday Edition Newspaper
Y
First Newspaper Name
The Journal Gazette
First Advertisement Start Date
2020-08-16
Second Newspaper Ad Name
The Journal Gazette
Second Advertisement Type
Newspaper
Second Ad Start Date
2020-08-23
Employer Website From Date
2021-01-01 09:53:46
Employer Website To Date
2021-01-01 09:53:46
Professional Organization Ad From Date
2020-09-15
Professional Organization Advertisement To Date
2020-09-22
Job Search Website From Date
2020-08-31
Job Search Website To Date
2020-09-10
Employee Referral Program From Date
2021-01-01 09:53:46
Employee Referral Program To Date
2021-01-01 09:53:46
Local Ethnic Paper From Date
2021-01-01 09:53:46
Local Ethnic Paper To Date
2021-01-01 09:53:46
Radio/TV Ad From Date
2021-01-01 09:53:46
Radio/TV Ad To Date
2021-01-01 09:53:46
Employer Received Payment
N
Posted Notice at Worksite
Y
Layoff in Past Six Months
N
Country of Citizenship
CANADA
Foreign Worker Birth Country
INDIA
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
SABA UNIVERSITY SCHOOL OF MEDICINE
Foreign Worker Education Institution Address 1
CHURCH STREET, THE BOTTOM
Foreign Worker Education Institution Address 2
Foreign Worker Education Institution City
SABA
Foreign Worker Education Institution State/Province
Foreign Worker Education Institution Country
NETHERLANDS ANTILLES
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
Kelly R Deraney
Employer Information Declaration Title
CAO