Fiscal Year

2022

Case Number

A-21116-78578

Case Status

Certified-Expired

Received Date

2021-06-04

Decision Date

2021-12-02

Refile

N

Original File Date

2022-01-01 10:31:51

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Santibanez Holtzclaw

Employer Name Slug

santibanez-holtzclaw

Employer Address 1

12420 Milestone Center Drive, Suite 200

Employer Address 2

Employer City

Germantown

Employer City Slug

germantown

Employer State

MARYLAND

Employer State Slug

maryland

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

20876

Employer Phone

2406862300

Employer Number of Employees

102

Employer Year Commenced Business

2014

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Faith K Kaplan

Employer Contact Address 1

12420 Milestone Center Drive, Suite 200

Employer Contact Address 2

Employer Contact City

Germantown

Employer Contact State/Province

MARYLAND

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

20876

Employer Contact Phone

2406862300 2049

Employer Contact Email

Faith.kaplan@alteonhealth.com

Agent Attorney Name

Elissa Taub

Agent Attorney Firm Name

Siskind Susser PC

Agent Attorney Phone

9016826455

Agent Attorney Address 1

1028 Oakhaven Rd

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

P10020346954317

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

125133.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-04-23

PW Expiration Date

2021-07-22

Wage Offer From

125.00

Wage Offer To

0.00

Average Salary

125.00

Wage Unit of Pay

Hour

Worksite Address 1

St. Marks Hospital

Worksite Address 2

1200 E 3900 S

Worksite City

Salt Lake City

Worksite City Slug

salt-lake-city

Worksite State

UTAH

Worksite Postal Code

84124

Job Title

Hospitalist Physician

Job Title Slug

hospitalist-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 Internal Medicine or Family Medicine; and eligibility for medical licensure in Utah

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

2021-02-26

SWA Job Order End Date

2021-04-01

Sunday Edition Newspaper

Y

First Newspaper Name

Salt Lake Tribune

First Advertisement Start Date

2020-12-27

Second Newspaper Ad Name

Salt Lake Tribune

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-01-03

Employer Website From Date

2022-01-01 10:31:51

Employer Website To Date

2022-01-01 10:31:51

Professional Organization Ad From Date

2021-01-19

Professional Organization Advertisement To Date

2021-01-26

Job Search Website From Date

2021-01-08

Job Search Website To Date

2021-01-26

Employee Referral Program From Date

2022-01-01 10:31:51

Employee Referral Program To Date

2022-01-01 10:31:51

Local Ethnic Paper From Date

2022-01-01 10:31:51

Local Ethnic Paper To Date

2022-01-01 10:31:51

Radio/TV Ad From Date

2022-01-01 10:31:51

Radio/TV Ad To Date

2022-01-01 10:31:51

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

1996

Foreign Worker Institution of Education

MYSORE MEDICAL COLLEGE

Foreign Worker Education Institution Address 1

IRWIN ROAD

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MYSURU

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

570001

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

Partner

Preparer Email

etaub@visalaw.com

Employer Information Declaration Name

Jim Tait

Employer Information Declaration Title

Chief Human Resources Officer