Fiscal Year

2022

Case Number

A-21334-79031

Case Status

Withdrawn

Received Date

2022-01-06

Decision Date

2022-02-08

Refile

N

Original File Date

2022-01-01 10:54:19

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

NORTHWEST BENTON COUNTY PHYSICIAN SERVICES, LLC

Employer Name Slug

northwest-benton-county-physician-services-llc

Employer Address 1

2900 MEDICAL CENTER PARKWAY

Employer Address 2

Employer City

BENTONVILLE

Employer City Slug

bentonville

Employer State

ARKANSAS

Employer State Slug

arkansas

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

72712

Employer Phone

4797578000

Employer Number of Employees

65

Employer Year Commenced Business

2005

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Michael Griffin

Employer Contact Address 1

2900 Medical Center Parkway

Employer Contact Address 2

Employer Contact City

Bentonville

Employer Contact State/Province

ARKANSAS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

72712

Employer Contact Phone

4797578000

Employer Contact Email

mgriffin@nw-health.com

Agent Attorney Name

Meghan Moody

Agent Attorney Firm Name

Siskind Susser PC

Agent Attorney Phone

9016826455

Agent Attorney Address 1

1028 Oakhaven Road

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

mmoody@visalaw.com

PW Track Number

P10021102216940

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

2021-09-15

PW Expiration Date

2022-06-30

Wage Offer From

600000.00

Wage Offer To

0.00

Average Salary

600000.00

Wage Unit of Pay

Year

Worksite Address 1

Northwest Cardiology Bentonville

Worksite Address 2

2900 Medical Center Parkway, Suite 240B

Worksite City

Bentonville

Worksite City Slug

bentonville

Worksite State

ARKANSAS

Worksite Postal Code

72712

Job Title

Interventional Cardiologist

Job Title Slug

interventional-cardiologist

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

Requires M.D., D.O., or foreign equivalent; completion of residency in Internal Medicine; completion of fellowships in Cardiovascular Disease and Interventional Cardiology; and eligibility for medical licensure in Arkansas.

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

2021-09-02

SWA Job Order End Date

2021-10-07

Sunday Edition Newspaper

Y

First Newspaper Name

Northwest Arkansas Democrat Gazette

First Advertisement Start Date

2021-07-11

Second Newspaper Ad Name

Northwest Arkansas Democrat Gazette

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-07-18

Employer Website From Date

2022-01-01 10:54:19

Employer Website To Date

2022-01-01 10:54:19

Professional Organization Ad From Date

2021-07-20

Professional Organization Advertisement To Date

2021-07-27

Job Search Website From Date

2021-07-27

Job Search Website To Date

2021-08-23

Employee Referral Program From Date

2022-01-01 10:54:19

Employee Referral Program To Date

2022-01-01 10:54:19

Local Ethnic Paper From Date

2022-01-01 10:54:19

Local Ethnic Paper To Date

2022-01-01 10:54:19

Radio/TV Ad From Date

2022-01-01 10:54:19

Radio/TV Ad To Date

2022-01-01 10:54:19

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

O-1

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2007

Foreign Worker Institution of Education

PANDIT BHAGWAT DAYAL SHARMA POSTGRADUATE INSTITUTE OF MEDICAL SCIENCE

Foreign Worker Education Institution Address 1

MEDICAL ROAD, ROHTAK

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

HARYANA

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

124001

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

Meghan Moody

Preparer Title

Attorney at Law

Preparer Email

mmoody@visalaw.com

Employer Information Declaration Name

Michael Griffin

Employer Information Declaration Title

VP of Physician Practice Services