Fiscal Year

2022

Case Number

A-21264-47892

Case Status

Certified

Received Date

2021-09-27

Decision Date

2022-04-11

Refile

N

Original File Date

2022-01-01 11:13:54

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

SOUTHEASTERN HOSPITALIST SERVICES, P.C.

Employer Name Slug

southeastern-hospitalist-services-pc

Employer Address 1

265 BROOKVIEW CENTRE WAY

Employer Address 2

SUITE 400

Employer City

KNOXVILLE

Employer City Slug

knoxville

Employer State

TENNESSEE

Employer State Slug

tennessee

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

37919

Employer Phone

865-693-1000

Employer Number of Employees

119

Employer Year Commenced Business

2015

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

LInda Thacker

Employer Contact Address 1

265 Brookview Centre Way

Employer Contact Address 2

Suite 400

Employer Contact City

Knoxville

Employer Contact State/Province

TENNESSEE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

37919

Employer Contact Phone

865-693-1000

Employer Contact Email

linda_thacker@teamhealth.com

Agent Attorney Name

Elissa Taub

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

etaub@visalaw.com

PW Track Number

P10021061112913

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-07-27

PW Expiration Date

2022-06-30

Wage Offer From

115.00

Wage Offer To

135.00

Average Salary

125.00

Wage Unit of Pay

Hour

Worksite Address 1

Grand Strand Regional Medical Center

Worksite Address 2

809 82nd Parkway

Worksite City

Myrtle Beach

Worksite City Slug

myrtle-beach

Worksite State

SOUTH CAROLINA

Worksite Postal Code

29572

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 the state of South Carolina.

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

2021-03-30

SWA Job Order End Date

2021-05-04

Sunday Edition Newspaper

Y

First Newspaper Name

The Sun News

First Advertisement Start Date

2021-04-04

Second Newspaper Ad Name

The Sun News

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-04-11

Employer Website From Date

2022-01-01 11:13:54

Employer Website To Date

2022-01-01 11:13:54

Professional Organization Ad From Date

2021-04-27

Professional Organization Advertisement To Date

2021-05-04

Job Search Website From Date

2021-04-29

Job Search Website To Date

2021-05-17

Employee Referral Program From Date

2022-01-01 11:13:54

Employee Referral Program To Date

2022-01-01 11:13:54

Local Ethnic Paper From Date

2022-01-01 11:13:54

Local Ethnic Paper To Date

2022-01-01 11:13:54

Radio/TV Ad From Date

2022-01-01 11:13:54

Radio/TV Ad To Date

2022-01-01 11:13:54

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

JORDAN

Foreign Worker Birth Country

JORDAN

Class of Admission

Not in USA

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2013

Foreign Worker Institution of Education

THE UNIVERSITY OF JORDAN

Foreign Worker Education Institution Address 1

QUEEN RANIA STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

AMMAN

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

JORDAN

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

Elissa Taub

Preparer Title

Partner

Preparer Email

etaub@visalaw.com

Employer Information Declaration Name

Linda Thacker

Employer Information Declaration Title

Authorized Signatory