| CASE NUMBER | I-200-24239-293544 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/26/2024 |
| DECISION DATE | 9/3/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Nephrologist |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 12/1/2024 |
| END DATE | 11/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Martha Jefferson Medical Group LLC |
| TRADE NAME DBA | Sentara Martha Jefferson Medical Group |
| EMPLOYER ADDRESS1 | 1300 Sentara Park |
| EMPLOYER ADDRESS2 | 3rd Floor |
| EMPLOYER CITY | Virginia Beach |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23464 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17572523350 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | McConnell |
| EMPLOYER POC FIRST NAME | Holli |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Executive Director - Physician Recruitment and Onboarding |
| EMPLOYER POC ADDRESS1 | 1300 Sentara Park |
| EMPLOYER POC ADDRESS2 | 3rd Floor |
| EMPLOYER POC CITY | Virginia Beach |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23464 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17572523350 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | HDMCCONN@sentara.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Minear |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 1111 E. Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2100 |
| AGENT ATTORNEY CITY | Richmond |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +18047753822 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jminear@lawmh.com |
| LAWFIRM NAME BUSINESS NAME | McCandlish Holton, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 500 Martha Jefferson Dr. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Charlottesville |
| WORKSITE COUNTY | ALBEMARLE |
| WORKSITE STATE | VA |
| WORKSITE POSTAL CODE | 22911 |
| WAGE RATE OF PAY FROM | 300,705.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $190,611.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 3 |
| 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 | Nettleton |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | McCandlish Holton, PC |
| PREPARER EMAIL | mnettleton@lawmh.com |
| BEGIN DATE CONVERTED | 2024-01-12 |
