| CASE NUMBER | I-200-24328-496073 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/22/2024 |
| DECISION DATE | 12/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Nocturnist |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/7/2025 |
| END DATE | 1/6/2028 |
| 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 | Fayette Physician Network, Inc. |
| TRADE NAME DBA | WVUHS Medical Group |
| EMPLOYER ADDRESS1 | 500 West Berkeley Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Uniontown |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17244306899 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Lake |
| EMPLOYER POC FIRST NAME | Aschlie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director, Hospital Based Development & Community Operations |
| EMPLOYER POC ADDRESS1 | 500 West Berkeley Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Uniontown |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13042853058 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | aschlie.lake@wvumedicine.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | McCartney |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1238 Suncrest Towne Centre Drive |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Morgantown |
| AGENT ATTORNEY STATE | WV |
| AGENT ATTORNEY POSTAL CODE | 26505 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13049743614 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | john.mccartney@wvumedicine.org |
| LAWFIRM NAME BUSINESS NAME | West Virginia United Health System., Inc. |
| STATE OF HIGHEST COURT | WV |
| NAME OF HIGHEST STATE COURT | West Virginia Supreme Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2500 Hospital Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Martinsburg |
| WORKSITE COUNTY | BERKELEY |
| WORKSITE STATE | WV |
| WORKSITE POSTAL CODE | 25401 |
| WAGE RATE OF PAY FROM | $401,865.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $63,918.00 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-07 |
