| CASE NUMBER | I-200-25002-587946 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/2/2025 |
| DECISION DATE | 1/10/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 6/29/2025 |
| END DATE | 6/28/2028 |
| 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 | Mercy Health Physicians Lorain, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3700 Kolbe Rd. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Lorain |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44053 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14409604000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Burk |
| EMPLOYER POC FIRST NAME | Kelsey |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Senior Paralegal - Immigration |
| EMPLOYER POC ADDRESS1 | 1701 Mercy Health Place |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Cincinnati |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45237 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17067687124 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | KBurk@mercy.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Jenkins |
| AGENT ATTORNEY FIRST NAME | Staci |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 425 Walnut Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1800 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15133578767 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | SMJenkins@taftlaw.com |
| LAWFIRM NAME BUSINESS NAME | Taft Stettinius & Hollister LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 5940 Oak Point Rd. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Lorain |
| WORKSITE COUNTY | LORAIN |
| WORKSITE STATE | OH |
| WORKSITE POSTAL CODE | 44053 |
| WAGE RATE OF PAY FROM | $64,147.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $295,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $64,147.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | Saoudi |
| PREPARER FIRST NAME | Kendra |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Taft Stettinius & Hollister LLP |
| PREPARER EMAIL | ksaoudi@taftlaw.com |
| BEGIN DATE CONVERTED | 2025-06-29 |