| LCA CASE NUMBER | I-200-20108-497891 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-17 |
| DECISION DATE | 2020-04-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician PGY5 Plastic Surgery Integrated |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2021-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Barnes-Jewish Hospital |
| EMPLOYER ADDRESS1 | One Barnes-Jewish Hospital Plaza |
| EMPLOYER CITY | St. Louis |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 63110 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13147473000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Mouser |
| EMPLOYER POC FIRST NAME | Terra |
| EMPLOYER POC JOB TITLE | Director, Graduate Med Education & Medical Staff Services |
| EMPLOYER POC ADDRESS1 | 4590 Children's Place |
| EMPLOYER POC ADDRESS2 | MS: 90-29-928 |
| EMPLOYER POC CITY | St. Louis |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63110 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13144548087 |
| EMPLOYER POC EMAIL | terra.mouser@bjc.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Bell |
| AGENT ATTORNEY FIRST NAME | Jeffrey |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 900 West 48th Place |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Kansas City |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 64112 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MO |
| AGENT ATTORNEY PHONE | 18163604264.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jbell@polsinelli.com |
| LAWFIRM NAME BUSINESS NAME | Polsinelli |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | One Barnes-Jewish Hospital Plaza |
| LCA CASE WORKLOC1 CITY | St. Louis |
| WORKSITE COUNTY | ST LOUIS CITY |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 63110 |
| LCA CASE WAGE RATE FROM | 67367.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 64555.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019.0 |
| PW SURVEY PUBLISHER | Association of American Medical Colleges |
| PW SURVEY NAME | AAMC Survey of Resident/Fellow Stipends |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bell |
| PREPARER FIRST NAME | Jeffrey |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Polsinelli PC |
| PREPARER EMAIL | jbell@polsinelli.com |
