Fiscal Year

2022

Case Number

A-21117-78962

Case Status

Certified-Expired

Received Date

2021-05-05

Decision Date

2021-10-22

Refile

N

Original File Date

2022-01-01 10:18:52

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

SOUTHEASTERN REGIONAL MEDICAL CENTER

Employer Name Slug

southeastern-regional-medical-center

Employer Address 1

P. O. BOX 1408

Employer Address 2

300 WEST 27TH STREET

Employer City

LUMBERTON

Employer City Slug

lumberton

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

28359

Employer Phone

(910) 671-5000

Employer Number of Employees

2191

Employer Year Commenced Business

1953

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Lorna Clothier

Employer Contact Address 1

P. O. Box 1408

Employer Contact Address 2

300 West 27th Street

Employer Contact City

Lumberton

Employer Contact State/Province

NORTH CAROLINA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

28359

Employer Contact Phone

(910) 671-5000

Employer Contact Email

clothi01@srmc.org

Agent Attorney Name

Dayna Kelly

Agent Attorney Firm Name

Law Offices of Dayna Kelly, P.C.

Agent Attorney Phone

(919) 969-7200

Agent Attorney Address 1

250 E Winmore Avenue

Agent Attorney Address 2

Agent Attorney City

Chapel Hill

Agent Attorney State/Province

NORTH CAROLINA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

27516

Agent Attorney Email

info@dkelly.com

PW Track Number

P10020244795833

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level III

PW Wage

169666.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-02-04

PW Expiration Date

2021-06-30

Wage Offer From

220000.00

Wage Offer To

250000.00

Average Salary

235000.00

Wage Unit of Pay

Year

Worksite Address 1

300 West 27th Street

Worksite Address 2

Worksite City

Lumberton

Worksite City Slug

lumberton

Worksite State

NORTH CAROLINA

Worksite Postal Code

28358

Job Title

Assistant Program Director and Core Faculty for Internal Medicine

Job Title Slug

assistant-program-director-and-core-faculty-for-internal-medicine

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

Medical degree or foreign equivalent. Complete Internal Medicine residency training program. Able to obtain North Carolina medical license prior to commencement of employment.

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

2020-11-09

SWA Job Order End Date

2020-12-11

Sunday Edition Newspaper

Y

First Newspaper Name

The Fayetteville Observer

First Advertisement Start Date

2021-01-17

Second Newspaper Ad Name

The Fayetteville Observer

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-01-24

Employer Website From Date

2021-02-03

Employer Website To Date

2021-03-02

Professional Organization Ad From Date

2022-01-01 10:18:52

Professional Organization Advertisement To Date

2022-01-01 10:18:52

Job Search Website From Date

2021-01-13

Job Search Website To Date

2021-03-02

Employee Referral Program From Date

2021-02-08

Employee Referral Program To Date

2021-03-02

Local Ethnic Paper From Date

2022-01-01 10:18:52

Local Ethnic Paper To Date

2022-01-01 10:18:52

Radio/TV Ad From Date

2022-01-01 10:18:52

Radio/TV Ad To Date

2022-01-01 10:18:52

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

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, HASSAN INSTITUTE OF MEDICAL SCIENCES

Foreign Worker Education Institution Address 1

4TH BLOCK

Foreign Worker Education Institution Address 2

PATTABHIRAMA NAGAR, JAYANAGAR

Foreign Worker Education Institution City

BENGALURU

Foreign Worker Education Institution State/Province

KARNATAKA

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

573201

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

Dayna Kelly

Preparer Title

Attorney

Preparer Email

info@dkelly.com

Employer Information Declaration Name

Joann Anderson

Employer Information Declaration Title

CEO