Fiscal Year

2022

Case Number

A-21292-60384

Case Status

Certified

Received Date

2021-12-07

Decision Date

2022-07-11

Refile

N

Original File Date

2022-01-01 11:43:23

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

VIDANT MEDICAL GROUP

Employer Name Slug

vidant-medical-group

Employer Address 1

2100 STANTONSBURG ROAD

Employer Address 2

Employer City

GREENVILLE

Employer City Slug

greenville

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

27834

Employer Phone

2528470802

Employer Number of Employees

1666

Employer Year Commenced Business

2006

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Beverly Walker

Employer Contact Address 1

1 Medical Drive

Employer Contact Address 2

Doctors Park 1 AB

Employer Contact City

Greenville

Employer Contact State/Province

NORTH CAROLINA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

27834

Employer Contact Phone

252-847-6607

Employer Contact Email

bwalker@vidanthealth.com

Agent Attorney Name

Dayna Kelly

Agent Attorney Firm Name

Law Offices of Dayna Kelly, P.C.

Agent Attorney Phone

(919) 969-7200

Agent Attorney Address 1

250 E Winmore Avenue

Agent Attorney Address 2

Agent Attorney City

Chapel Hill

Agent Attorney State/Province

NORTH CAROLINA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

27516

Agent Attorney Email

info@dkelly.com

PW Track Number

P10021090188834

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

2021-09-01

PW Expiration Date

2022-06-30

Wage Offer From

208000.00

Wage Offer To

240000.00

Average Salary

224000.00

Wage Unit of Pay

Year

Worksite Address 1

628 E 12th Street

Worksite Address 2

Worksite City

Washington

Worksite City Slug

washington

Worksite State

NORTH CAROLINA

Worksite Postal Code

27889

Job Title

Hospitalist

Job Title Slug

hospitalist

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

Medical degree or foreign equivalent. Completion of 36 month Internal Medicine residency training program or 36 month Family Medicine residency training program. Board certified BC or Board Eligible BE in either Internal Medicine or Family Medicine. Physician is board eligible upon completion of residency training program. Able to obtain North Carolina medical license prior to commencement of employment.

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

2021-09-13

SWA Job Order End Date

2021-10-18

Sunday Edition Newspaper

Y

First Newspaper Name

The News Observer

First Advertisement Start Date

2021-09-12

Second Newspaper Ad Name

The News Observer

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-09-19

Employer Website From Date

2021-09-08

Employer Website To Date

2021-10-06

Professional Organization Ad From Date

2022-01-01 11:43:23

Professional Organization Advertisement To Date

2022-01-01 11:43:23

Job Search Website From Date

2021-09-08

Job Search Website To Date

2021-10-06

Employee Referral Program From Date

2022-01-01 11:43:23

Employee Referral Program To Date

2022-01-01 11:43:23

Local Ethnic Paper From Date

2022-01-01 11:43:23

Local Ethnic Paper To Date

2022-01-01 11:43:23

Radio/TV Ad From Date

2022-01-01 11:43:23

Radio/TV Ad To Date

2022-01-01 11:43:23

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

2013

Foreign Worker Institution of Education

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA

Foreign Worker Education Institution Address 1

M.S. RAMAIAH MEDICAL COLLEGE

Foreign Worker Education Institution Address 2

M.S. RAMAIAH NAGE, MATHIKERE

Foreign Worker Education Institution City

BENGALURU

Foreign Worker Education Institution State/Province

KARNATAKA

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

560054

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

Dayna Kelly

Preparer Title

Attorney

Preparer Email

info@dkelly.com

Employer Information Declaration Name

Anthony Bartholomew

Employer Information Declaration Title

VP Operations