| CASE NUMBER | I-200-24278-387414 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/4/2024 |
| DECISION DATE | 10/11/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician (Pulmonary/Critical Care) |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | N |
| BEGIN DATE | 1/1/2025 |
| END DATE | 12/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | SSM Health Care Group |
| TRADE NAME DBA | SLUCare Physician Group |
| EMPLOYER ADDRESS1 | 12800 Corporate Hill Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | St. Louis |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 63131 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13149892124 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Elledge |
| EMPLOYER POC FIRST NAME | Kevin |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Regional President - Medical Group |
| EMPLOYER POC ADDRESS1 | 12800 Corporate Hill Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | St. Louis |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63131 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13145238788 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | awoodlee@hallrender.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Ramsey |
| AGENT ATTORNEY FIRST NAME | Lindsay |
| AGENT ATTORNEY MIDDLE NAME | Carlberg |
| AGENT ATTORNEY ADDRESS1 | 500 N. Meridian Street |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13174293637 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lramsey@hallrender.com |
| LAWFIRM NAME BUSINESS NAME | Hall, Render, Killian, Heath & Lyman, P.C. |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | SSM Health Saint Louis University Hospital |
| WORKSITE ADDRESS1 | 1201 South Grand Boulevard |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | St. Louis |
| WORKSITE COUNTY | ST LOUIS CITY |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 63104 |
| WAGE RATE OF PAY FROM | $220.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $115.00 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-01 |
