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Case Number: A-21050-53880

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21050-53880

Case Status

Certified

Received Date

2021-03-25

Decision Date

2021-08-04

Refile

N

Original File Date

2021-01-01 09:56:12

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

BAYSTATE MEDICAL PRACTICES, INC.

Employer Name Slug

baystate-medical-practices-inc

Employer Address 1

759 CHESTNUT STREET

Employer Address 2

Employer City

SPRINGFIELD

Employer City Slug

springfield

Employer State

MASSACHUSETTS

Employer State Slug

massachusetts

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

1199

Employer Phone

413-794-2571

Employer Number of Employees

1716

Employer Year Commenced Business

1985

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Carolynn Hartman

Employer Contact Address 1

280 Chestnut Street, 1st Floor

Employer Contact Address 2

Employer Contact City

Springfield

Employer Contact State/Province

MASSACHUSETTS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

1199

Employer Contact Phone

413-794-2325

Employer Contact Email

carolynn.hartman@baystatehealth.org

Agent Attorney Name

Dan H Berger

Agent Attorney Firm Name

Curran, Berger Kludt

Agent Attorney Phone

(413) 584-3232

Agent Attorney Address 1

79 Masonic Street

Agent Attorney Address 2

Agent Attorney City

Northampton

Agent Attorney State/Province

MASSACHUSETTS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

1060

Agent Attorney Email

dhb@cbkimmigration.com

PW Track Number

P10020210739242

PW SOC Code

29-1062

PW SOC Title

Family and General Practitioners

PW Skill Level

Level I

PW Wage

137218.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-01-05

PW Expiration Date

2021-06-30

Wage Offer From

202000.00

Wage Offer To

300600.00

Average Salary

251300.00

Wage Unit of Pay

Year

Worksite Address 1

Valley Medical Associates

Worksite Address 2

3640 Main Street

Worksite City

Springfield

Worksite City Slug

springfield

Worksite State

MASSACHUSETTS

Worksite Postal Code

1107

Job Title

Family Medicine Physician

Job Title Slug

family-medicine-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

D.O. Doctor of Osteopathic Medicine

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

BEBC Board Eligible or Board Certified in Internal Medicine or Family Medicine.

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

2021-01-14

SWA Job Order End Date

2021-02-18

Sunday Edition Newspaper

Y

First Newspaper Name

Springfield Republican

First Advertisement Start Date

2021-01-24

Second Newspaper Ad Name

Springfield Republican

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-01-31

Employer Website From Date

2021-01-01 09:56:12

Employer Website To Date

2021-01-01 09:56:12

Professional Organization Ad From Date

2021-02-11

Professional Organization Advertisement To Date

2021-02-11

Job Search Website From Date

2021-01-27

Job Search Website To Date

2021-02-17

Employee Referral Program From Date

2021-01-01 09:56:12

Employee Referral Program To Date

2021-01-01 09:56:12

Local Ethnic Paper From Date

2021-01-28

Local Ethnic Paper To Date

2021-02-03

Radio/TV Ad From Date

2021-01-01 09:56:12

Radio/TV Ad To Date

2021-01-01 09:56:12

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

2016

Foreign Worker Institution of Education

ST. GEORGES UNIVERSITY

Foreign Worker Education Institution Address 1

UNIVERSITY CENTRE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

UNIVERSITY CENTRE

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

GRENADA

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

Dan H Berger

Preparer Title

Attorney

Preparer Email

dhb@cbkimmigration.com

Employer Information Declaration Name

Kristin MoralesLemiuex

Employer Information Declaration Title

SVP, Human Resources for Baystate Health