| LCA CASE NUMBER | I-200-21046-077358 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-15 |
| DECISION DATE | 2021-02-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Anesthesiologist |
| SOC CODE | 29-1061.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-02 |
| END DATE | 2024-08-01 |
| 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 | Kennebec Anesthesia Associates, P.A. |
| EMPLOYER ADDRESS1 | 35 Medical Center Parkway |
| EMPLOYER ADDRESS2 | Suite 201 |
| EMPLOYER CITY | Augusta |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 4330 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12076201136 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Holmsen |
| EMPLOYER POC FIRST NAME | Dag |
| EMPLOYER POC JOB TITLE | Medical Doctor |
| EMPLOYER POC ADDRESS 1 | 35 Medical Center Parkway |
| EMPLOYER POC ADDRESS 2 | Suite 201 |
| EMPLOYER POC CITY | Augusta |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 04330 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12076201136 |
| EMPLOYER POC EMAIL | Dag.Holmsen@mainegeneral.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Minervino |
| AGENT ATTORNEY FIRST NAME | Mary |
| AGENT ATTORNEY MIDDLE NAME | Kathleen |
| AGENT ATTORNEY ADDRESS1 | 254 Commercial Street |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 4101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12077911198 |
| AGENT ATTORNEY EMAIL ADDRESS | kminervino@pierceatwood.com |
| LAWFIRM NAME BUSINESS NAME | Pierce Atwood |
|
| STATE OF HIGHEST COURT | ME |
| NAME OF HIGHEST STATE COURT | Maine Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | MaineGeneral Medical Center |
| WORKSITE ADDRESS1 | 35 Medical Center Parkway |
| LCA CASE WORKLOC1 CITY | Augusta |
| WORKSITE COUNTY | AUGUSTA CITY |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 4330 |
| LCA CASE WAGE RATE FROM | 420000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
