| LCA CASE NUMBER | I-200-21180-434038 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-29 |
| DECISION DATE | 2021-07-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Family Medicine) |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | St. Anthony Shawnee Hospital Inc. |
| TRADE NAME DBA | SSM Health St. Anthony Hospital – Shawnee |
| EMPLOYER ADDRESS1 | 1102 W. MacArthur Street |
| EMPLOYER CITY | Shawnee |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 74804 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14052727178 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hellman |
| EMPLOYER POC FIRST NAME | Leslie |
| EMPLOYER POC JOB TITLE | Senior Legal Counsel |
| EMPLOYER POC ADDRESS1 | 1000 N. Lee Avenue |
| EMPLOYER POC CITY | Oklahoma City |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 73102 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14052727178 |
| EMPLOYER POC EMAIL | Leslie.Hellman@ssmhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fillenwarth |
| AGENT ATTORNEY FIRST NAME | Charlotte |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 500 North 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 PHONE | 13179771476 |
| AGENT ATTORNEY EMAIL ADDRESS | cfillenwarth@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 | False |
| WORKSITE ADDRESS1 | 1102 W. MacArthur Street |
| LCA CASE WORKLOC1 CITY | Shawnee |
| WORKSITE COUNTY | POTTAWATOMIE |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 74804 |
| LCA CASE WAGE RATE FROM | 130 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 41.67 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
