Fiscal Year

2022

Case Number

A-21291-59812

Case Status

Certified

Received Date

2021-12-06

Decision Date

2022-06-29

Refile

N

Original File Date

2022-01-01 11:41:08

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

BANNER MEDICAL GROUP

Employer Name Slug

banner-medical-group

Employer Address 1

2901 N. CENTRAL AVE, SUITE 160

Employer Address 2

Employer City

PHOENIX

Employer City Slug

phoenix

Employer State

ARIZONA

Employer State Slug

arizona

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

85012

Employer Phone

602-747-4001

Employer Number of Employees

3200

Employer Year Commenced Business

2011

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Yusuf M Yaqub

Employer Contact Address 1

2901 N Central Ave

Employer Contact Address 2

Suite 160

Employer Contact City

Phoenix

Employer Contact State/Province

ARIZONA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

85004

Employer Contact Phone

602-747-7136

Employer Contact Email

yusuf.yaqub@bannerhealth.com

Agent Attorney Name

Matthew J Martinez

Agent Attorney Firm Name

Dickinson Wright, PLLC

Agent Attorney Phone

6022855056

Agent Attorney Address 1

1850 N. Central Ave.

Agent Attorney Address 2

Suite 1400

Agent Attorney City

Phoenix

Agent Attorney State/Province

ARIZONA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

85004

Agent Attorney Email

mmartinez@dickinson-wright.com

PW Track Number

P10021006997510

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

Level III

PW Wage

218837.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-05-17

PW Expiration Date

2021-08-15

Wage Offer From

218900.00

Wage Offer To

266000.00

Average Salary

242450.00

Wage Unit of Pay

Year

Worksite Address 1

9165 W. Thunderbird Rd. Suite #100

Worksite Address 2

Worksite City

Peoria

Worksite City Slug

peoria

Worksite State

ARIZONA

Worksite Postal Code

85381

Job Title

Physician

Job Title Slug

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

Doctor of Medicine Degree, Doctor of Osteopathic Medicine Degree, or First Professional Degree in Medicine or foreign equivalent of any of these degrees. Must be eligible for Arizona medical license. Must have completed a Threeyear Residency in Internal Medicine or Family Medicine, and a TwoYear Fellowship in Endocrinology.br Alien will also work atbr 4375 E. Irma Lanebr Phoenix, AZ 85050

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

2021-07-28

SWA Job Order End Date

2021-08-27

Sunday Edition Newspaper

Y

First Newspaper Name

The Arizona Republic

First Advertisement Start Date

2021-08-01

Second Newspaper Ad Name

The Arizona Republic

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-08-08

Employer Website From Date

2022-01-01 11:41:08

Employer Website To Date

2022-01-01 11:41:08

Professional Organization Ad From Date

2022-01-01 11:41:08

Professional Organization Advertisement To Date

2022-01-01 11:41:08

Job Search Website From Date

2021-07-27

Job Search Website To Date

2021-08-18

Employee Referral Program From Date

2022-01-01 11:41:08

Employee Referral Program To Date

2022-01-01 11:41:08

Local Ethnic Paper From Date

2021-07-29

Local Ethnic Paper To Date

2021-08-04

Radio/TV Ad From Date

2021-08-05

Radio/TV Ad To Date

2021-08-05

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

1999

Foreign Worker Institution of Education

UNIVERSITY OF MUMBAI

Foreign Worker Education Institution Address 1

209, 2ND FLOOR, FORT CAMPUS

Foreign Worker Education Institution Address 2

GANDHI ROAD

Foreign Worker Education Institution City

MAHARASHTRA

Foreign Worker Education Institution State/Province

MUMBAI

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

400032

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

Matthew J Martinez

Preparer Title

Attorney

Preparer Email

mmartinez@dickinson-wright.com

Employer Information Declaration Name

Yusuf M Yaqub

Employer Information Declaration Title

Director, HR Shared Services