| LCA CASE NUMBER | I-200-20127-547915 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-05-06 |
| DECISION DATE | 2022-03-29 |
| ORIGINAL CERT DATE | 2020-05-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hampshire Memorial Hospital, Inc. |
| EMPLOYER ADDRESS1 | 363 Sunrise Boulevard |
| EMPLOYER CITY | Romney |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 26757 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15405368025 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hiett |
| EMPLOYER POC FIRST NAME | Nancy |
| EMPLOYER POC JOB TITLE | Manager, Physician Recruitment |
| EMPLOYER POC ADDRESS1 | 220 Campus Boulevard |
| EMPLOYER POC ADDRESS2 | Suite 420 |
| EMPLOYER POC CITY | Winchester |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15405368025 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wadhwani |
| AGENT ATTORNEY FIRST NAME | Catherine |
| AGENT ATTORNEY MIDDLE NAME | V. |
| AGENT ATTORNEY ADDRESS1 | BNY Mellon Center, 500 Grant Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14123945540 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fox Rothschild LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Hampshire Memorial Hospital |
| WORKSITE ADDRESS2 | 363 Sunrise Boulevard |
| LCA CASE WORKLOC1 CITY | Romney |
| WORKSITE COUNTY | HAMPSHIRE |
| LCA CASE WORKLOC1 STATE | WV |
| WORKSITE POSTAL CODE | 26757 |
| LCA CASE WAGE RATE FROM | 330000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Wadhwani |
| PREPARER FIRST NAME | Catherine |
| PREPARER MIDDLE INITIAL | V |
| PREPARER BUSINESS NAME | Fox Rothschild LLP |
| PREPARER EMAIL | [email protected] |
