Fiscal Year

2021

Case Number

A-21106-75209

Case Status

Certified

Received Date

2021-04-21

Decision Date

2021-09-15

Refile

N

Original File Date

2021-01-01 10:10:32

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

MARSHFIELD CLINIC

Employer Name Slug

marshfield-clinic

Employer Address 1

1000 N. OAK AVENUE

Employer Address 2

Employer City

MARSHFIELD

Employer City Slug

marshfield

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

54449

Employer Phone

715-387-5511

Employer Number of Employees

864

Employer Year Commenced Business

1916

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

LISA BOERO

Employer Contact Address 1

1515 NORTH SAINT JOSEPH AVE

Employer Contact Address 2

PO BOX 8000

Employer Contact City

MARSHFIELD

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

54449

Employer Contact Phone

715-221-7231

Employer Contact Email

BOERO.LISA@MARSHFIELDCLINIC.ORG

Agent Attorney Name

Kelley A Chenhalls

Agent Attorney Firm Name

Chenhalls Nissen, S.C.

Agent Attorney Phone

(414) 892-8298

Agent Attorney Address 1

11270 W Park Place

Agent Attorney Address 2

Suite 200

Agent Attorney City

Milwaukee

Agent Attorney State/Province

WISCONSIN

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

53224

Agent Attorney Email

kchenhalls@cnvisalaw.com

PW Track Number

P10020337934454

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-04-13

PW Expiration Date

2021-07-12

Wage Offer From

311700.00

Wage Offer To

0.00

Average Salary

311700.00

Wage Unit of Pay

Year

Worksite Address 1

1000 N. Oak Ave.

Worksite Address 2

Worksite City

Marshfield

Worksite City Slug

marshfield

Worksite State

WISCONSIN

Worksite Postal Code

54449

Job Title

Pediatric Intensivist

Job Title Slug

pediatric-intensivist

Minimum Education

Other

Major Field of Study

Medicine or Medicine and Surgery

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

Note on H.4A requires M.D., D.O., or foreign equivalent degree. Also requires successful completion of residency in pediatrics; must be in the final year and in good standing in a fellowship in pediatric critical care medicine, or have completed the fellowship; must have or be eligible for a license to practice medicine and surgery in the State of Wisconsin; and may not at any time have been or be excluded from participation in any federallyfunded program, including medicare and medicaid. Note on I.D.811Central Wisconsin Sunday is the Sunday edition of three local newspapers combined the Marshfield NewsHerald Marshfield, Wisconsin, the Stevens Point Journal Stevens Point, Wisconsin, and the Daily Tribune Wisconsin Rapids, Wisconsin.

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

2020-12-07

SWA Job Order End Date

2021-01-06

Sunday Edition Newspaper

Y

First Newspaper Name

Central Wisconsin Sunday

First Advertisement Start Date

2020-12-13

Second Newspaper Ad Name

Central Wisconsin Sunday

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-12-20

Employer Website From Date

2020-12-07

Employer Website To Date

2020-12-21

Professional Organization Ad From Date

2021-01-01 10:10:32

Professional Organization Advertisement To Date

2021-01-01 10:10:32

Job Search Website From Date

2020-12-04

Job Search Website To Date

2020-12-18

Employee Referral Program From Date

2021-01-01 10:10:32

Employee Referral Program To Date

2021-01-01 10:10:32

Local Ethnic Paper From Date

2021-01-01 10:10:32

Local Ethnic Paper To Date

2021-01-01 10:10:32

Radio/TV Ad From Date

2020-12-10

Radio/TV Ad To Date

2020-12-10

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

BAHRAIN

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE AND SURGERY

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

KASTURBA MEDICAL COLLEGE, MANGALORE

Foreign Worker Education Institution Address 1

203, LIGHT HOUSE HILL RD, HAMPANKATTA

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MANGALORE

Foreign Worker Education Institution State/Province

KARNATAKA

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

575001

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Kelley A Chenhalls

Preparer Title

Attorney

Preparer Email

kchenhalls@cnvisalaw.com

Employer Information Declaration Name

Lisa S Boero

Employer Information Declaration Title

Chief Legal Officer SHP