| LCA CASE NUMBER | I-200-21273-615887 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-30 |
| DECISION DATE | 2021-10-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-18 |
| END DATE | 2022-01-15 |
| 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 | Ohio Valley Physicians, Inc. |
| EMPLOYER ADDRESS1 | 300B 8th Street |
| EMPLOYER ADDRESS2 | Suite 201 |
| EMPLOYER CITY | Huntington |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 25701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13044291088 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Shy |
| EMPLOYER POC FIRST NAME | Stacey |
| EMPLOYER POC MIDDLE NAME | C. |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 300B 8th Street |
| EMPLOYER POC ADDRESS2 | Suite 201 |
| EMPLOYER POC CITY | Huntington |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 25701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13044291088 |
| EMPLOYER POC EMAIL | stacey.shy@ohiovalleyphysicians.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Grimm |
| AGENT ATTORNEY FIRST NAME | Michelle |
| AGENT ATTORNEY MIDDLE NAME | Diane |
| 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 |
| 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 | True |
| SECONDARY ENTITY BUSINESS NAME | Holzer Medical Center - Jackson |
| WORKSITE ADDRESS1 | 500 Burlington Road |
| LCA CASE WORKLOC1 CITY | Jackson |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45640 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE TO | 275000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
