| LCA CASE NUMBER | I-200-20142-591869 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-21 |
| DECISION DATE | 2020-05-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Urgent Care Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-10 |
| END DATE | 2023-07-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | OhioHealth Physician Group, Inc. |
| EMPLOYER ADDRESS1 | 3430 OhioHealth Parkway |
| EMPLOYER CITY | Columbus |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16145444540 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Ponzio |
| EMPLOYER POC FIRST NAME | EmmaLee |
| EMPLOYER POC JOB TITLE | Advisor, HR Business Partner |
| EMPLOYER POC ADDRESS1 | 3430 OHIOHEALTH PARKWAY |
| EMPLOYER POC CITY | COLUMBUS |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16145444868 |
| EMPLOYER POC EMAIL | EmmaLee.Ponzio@ohiohealth.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Grimm |
| AGENT ATTORNEY FIRST NAME | Michelle |
| AGENT ATTORNEY MIDDLE NAME | D. |
| AGENT ATTORNEY ADDRESS1 | 200 Civic Center Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 1200 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16144622631.0 |
| AGENT ATTORNEY EMAIL ADDRESS | mgrimm@bakerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Baker & Hostetler LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 895 W Third Ave |
| LCA CASE WORKLOC1 CITY | Columbus |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43212 |
| LCA CASE WAGE RATE FROM | 105.0 |
| LCA CASE WAGE RATE TO | 115.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 46.12 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
