| CASE NUMBER | I-200-24324-485972 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/19/2024 |
| DECISION DATE | 11/26/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 5/12/2025 |
| END DATE | 5/11/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | St. Josephs Hospital Health Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 301 Prospect Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Syracuse |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13154485111 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Walsh |
| EMPLOYER POC FIRST NAME | Lindsay |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Physician Relations Manager |
| EMPLOYER POC ADDRESS1 | 301 Prospect Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Syracuse |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13157035101 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | N/A |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Cross |
| AGENT ATTORNEY FIRST NAME | Jessica |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 8529 Six Forks Road, Forum IV |
| AGENT ATTORNEY ADDRESS2 | Suite 600 |
| AGENT ATTORNEY CITY | Raleigh |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27615 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19197879700 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Rachel.Bradley@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | District of Columbia Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 132 1/2 Albany Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Cazenovia |
| WORKSITE COUNTY | MADISON |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 13035 |
| WAGE RATE OF PAY FROM | $225,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $200,262.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-05-12 |
