Fiscal Year

2022

Case Number

A-21175-06733

Case Status

Certified-Expired

Received Date

2021-07-06

Decision Date

2021-12-20

Refile

N

Original File Date

2022-01-01 10:38:48

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Lifespan Physician Group, Inc

Employer Name Slug

lifespan-physician-group-inc

Employer Address 1

167 Point Street

Employer Address 2

Employer City

Providence

Employer City Slug

providence

Employer State

RHODE ISLAND

Employer State Slug

rhode-island

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

2903

Employer Phone

401-444-3500

Employer Number of Employees

1234

Employer Year Commenced Business

2012

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Patricia Richards

Employer Contact Address 1

593 Eddy Street

Employer Contact Address 2

Davol 101

Employer Contact City

Providence

Employer Contact State/Province

RHODE ISLAND

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

2903

Employer Contact Phone

401-606-2211

Employer Contact Email

PRichards@Lifespan.org

Agent Attorney Name

Thomas S Brown

Agent Attorney Firm Name

Rodio Brown. Ltd.

Agent Attorney Phone

401-274-4040

Agent Attorney Address 1

2139 Broad Street

Agent Attorney Address 2

Agent Attorney City

Cranston

Agent Attorney State/Province

RHODE ISLAND

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

2905

Agent Attorney Email

tbrown@rodiobrown.com

PW Track Number

P10021007000040

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

58261.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-05-17

PW Expiration Date

2021-08-15

Wage Offer From

200000.00

Wage Offer To

210000.00

Average Salary

205000.00

Wage Unit of Pay

Year

Worksite Address 1

Rhode Island Hospital

Worksite Address 2

593 Eddy Street

Worksite City

Providence

Worksite City Slug

providence

Worksite State

RHODE ISLAND

Worksite Postal Code

2903

Job Title

Physician (Hospitalist)

Job Title Slug

physician-hospitalist

Minimum Education

Other

Major Field of Study

Medicine

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

A minimum of a U.S. medical degree or foreign equivalent, Board Eligibility in Internal Medicine or Family Medicine and eligibility for a Rhode Island medical 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

2021-01-25

SWA Job Order End Date

2021-02-26

Sunday Edition Newspaper

Y

First Newspaper Name

The Providence Journal

First Advertisement Start Date

2021-01-10

Second Newspaper Ad Name

The Providence Journal

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-01-17

Employer Website From Date

2021-01-10

Employer Website To Date

2021-03-02

Professional Organization Ad From Date

2021-01-28

Professional Organization Advertisement To Date

2021-01-28

Job Search Website From Date

2021-01-10

Job Search Website To Date

2021-01-25

Employee Referral Program From Date

2022-01-01 10:38:48

Employee Referral Program To Date

2022-01-01 10:38:48

Local Ethnic Paper From Date

2022-01-01 10:38:48

Local Ethnic Paper To Date

2022-01-01 10:38:48

Radio/TV Ad From Date

2022-01-01 10:38:48

Radio/TV Ad To Date

2022-01-01 10:38:48

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

POLAND

Foreign Worker Birth Country

POLAND

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

POZNAN UNIVERSITY OF MEDICAL SCIENCES

Foreign Worker Education Institution Address 1

41 JACKOWSKIEGO STREET

Foreign Worker Education Institution Address 2

60513

Foreign Worker Education Institution City

POZNA

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

POLAND

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

Thomas S Brown

Preparer Title

Attorney

Preparer Email

tbrown@rodiobrown.com

Employer Information Declaration Name

Patricia H Richards

Employer Information Declaration Title

Vice President, Operations