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Case Number: A-21034-48607

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21034-48607

Case Status

Certified

Received Date

2021-02-03

Decision Date

2021-08-13

Refile

N

Original File Date

2021-01-01 09:59:32

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

WENTWORTHDOUGLASS PHYSICIAN CORPORATION

Employer Name Slug

wentworthdouglass-physician-corporation

Employer Address 1

789 CENTRAL AVENUE

Employer Address 2

MEDICAL STAFF OFFICE

Employer City

DOVER

Employer City Slug

dover

Employer State

NEW HAMPSHIRE

Employer State Slug

new-hampshire

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

3820

Employer Phone

603-609-6925

Employer Number of Employees

626

Employer Year Commenced Business

1998

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Paul R CASS, DO, CPE

Employer Contact Address 1

789 Central Avenue

Employer Contact Address 2

Employer Contact City

Dover

Employer Contact State/Province

NEW HAMPSHIRE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

3820

Employer Contact Phone

603-609-6925

Employer Contact Email

Irene.McCain@wdhospital.org

Agent Attorney Name

Steven L Winer

Agent Attorney Firm Name

Orr Reno P.A.

Agent Attorney Phone

603-223-9152

Agent Attorney Address 1

45 S. Main Street, PO Box 3550

Agent Attorney Address 2

Agent Attorney City

Concord

Agent Attorney State/Province

NEW HAMPSHIRE

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

03302-3550

Agent Attorney Email

rvermette@orr-reno.com

PW Track Number

P10020240789848

PW SOC Code

29-1069

PW SOC Title

Hospitalist

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-02-02

PW Expiration Date

2021-06-30

Wage Offer From

245500.00

Wage Offer To

0.00

Average Salary

245500.00

Wage Unit of Pay

Year

Worksite Address 1

WentworthDouglass Hospital

Worksite Address 2

789 Central Avenue

Worksite City

Dover

Worksite City Slug

dover

Worksite State

NEW HAMPSHIRE

Worksite Postal Code

3820

Job Title

Hospitalist

Job Title Slug

hospitalist

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 completion of Internal Medicine residency, BCE in Internal Medicine, eligibility for state license.

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

2020-09-30

SWA Job Order End Date

2020-10-30

Sunday Edition Newspaper

Y

First Newspaper Name

Union LeaderNew Hampshire Sunday News

First Advertisement Start Date

2020-09-27

Second Newspaper Ad Name

Union LeaderNew Hampshire Sunday News

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-10-04

Employer Website From Date

2020-09-26

Employer Website To Date

2020-10-29

Professional Organization Ad From Date

2020-10-15

Professional Organization Advertisement To Date

2020-10-21

Job Search Website From Date

2020-09-27

Job Search Website To Date

2020-10-23

Employee Referral Program From Date

2021-01-01 09:59:32

Employee Referral Program To Date

2021-01-01 09:59:32

Local Ethnic Paper From Date

2021-01-01 09:59:32

Local Ethnic Paper To Date

2021-01-01 09:59:32

Radio/TV Ad From Date

2021-01-01 09:59:32

Radio/TV Ad To Date

2021-01-01 09:59:32

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

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

2012

Foreign Worker Institution of Education

STANLEY MEDICAL COLLEGE

Foreign Worker Education Institution Address 1

OLD JAIL ROAD

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

CHENNAI

Foreign Worker Education Institution State/Province

TAMIL NADU

Foreign Worker Education Institution Country

INDIA

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

Steven L Winer

Preparer Title

Attorney

Preparer Email

rvermette@orr-reno.com

Employer Information Declaration Name

Paul R CASS, DO, CPE

Employer Information Declaration Title

Director