| CASE NUMBER | I-200-24035-691575 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/4/2024 |
| DECISION DATE | 2/9/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Gastroenterologist |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 6/22/2024 |
| END DATE | 6/21/2027 |
| 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 | Kansas Gastroenterology LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3121 N Webb Rd |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Wichita |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 67226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13162613130 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Zayat |
| EMPLOYER POC FIRST NAME | Estephan |
| EMPLOYER POC MIDDLE NAME | N |
| EMPLOYER POC JOB TITLE | Medical Director |
| EMPLOYER POC ADDRESS1 | 3121 N Webb Rd |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Wichita |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 67226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13162613130 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Penny_Vogelsang@ksgastro.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Berner |
| AGENT ATTORNEY FIRST NAME | Donald |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 1551 N Waterfront Pkwy, Ste 100 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Wichita |
| AGENT ATTORNEY STATE | KS |
| AGENT ATTORNEY POSTAL CODE | 67206 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13162919738 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | dberner@foulston.com |
| LAWFIRM NAME BUSINESS NAME | Foulston Siefkin LLP |
| STATE OF HIGHEST COURT | KS |
| NAME OF HIGHEST STATE COURT | Kansas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3121 N Webb Rd |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Wichita |
| WORKSITE COUNTY | SEDGWICK |
| WORKSITE STATE | KS |
| WORKSITE POSTAL CODE | 67226 |
| WAGE RATE OF PAY FROM | 300000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $151,549.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| 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 | Berner |
| PREPARER FIRST NAME | Donald |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Foulston Siefkin LLP |
| PREPARER EMAIL | dberner@foulston.com |
| BEGIN DATE CONVERTED | 2025-10-06 |
