| CASE NUMBER | I-200-24177-146212 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/25/2024 |
| DECISION DATE | 7/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician - Pediatrics |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | N |
| BEGIN DATE | 8/9/2024 |
| END DATE | 8/8/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Children's Community Care, Inc. |
| TRADE NAME DBA | Children's Community Pediatrics |
| EMPLOYER ADDRESS1 | U.S. Steel Tower, 57th Floor |
| EMPLOYER ADDRESS2 | 600 Grant Street |
| EMPLOYER CITY | Pittsburgh |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15219 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14126478243 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Stevenson |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC MIDDLE NAME | Claypool |
| EMPLOYER POC JOB TITLE | Senior Associate Counsel |
| EMPLOYER POC ADDRESS1 | U.S. Steel Tower, 57th Floor |
| EMPLOYER POC ADDRESS2 | 600 Grant Street |
| EMPLOYER POC CITY | Pittsburgh |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15219 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14126478243 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | sherrangema@upmc.edu |
| AGENT REPRESENTING EMPLOYER | No |
| AGENT ATTORNEY LAST NAME | |
| AGENT ATTORNEY FIRST NAME | |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | |
| AGENT ATTORNEY COUNTRY | |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | |
| LAWFIRM NAME BUSINESS NAME | |
| STATE OF HIGHEST COURT | |
| NAME OF HIGHEST STATE COURT | |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | UPMC Children's Express Care - Hummelstown |
| WORKSITE ADDRESS2 | 8105 Adams Drive, Suite C |
| WORKSITE CITY | Hummelstown |
| WORKSITE COUNTY | DAUPHIN |
| WORKSITE STATE | PA |
| WORKSITE POSTAL CODE | 17036 |
| WAGE RATE OF PAY FROM | 125.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $54.45 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | Sherrange |
| PREPARER FIRST NAME | Melissa |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | UPMC Presbyterian Shadyside |
| PREPARER EMAIL | sherrangema@upmc.edu |
| BEGIN DATE CONVERTED | 2024-09-08 |
