| LCA CASE NUMBER | I-200-21295-663193 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-22 |
| DECISION DATE | 2021-10-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Plastic and Reconstructive Surgeon |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-15 |
| END DATE | 2024-11-14 |
| 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 | University Health System, Inc. |
| EMPLOYER ADDRESS1 | 1924 Alcoa Highway |
| EMPLOYER CITY | Knoxville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37920 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18656706102 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Cox |
| EMPLOYER POC FIRST NAME | Bennett |
| EMPLOYER POC MIDDLE NAME | L. |
| EMPLOYER POC JOB TITLE | General Counsel |
| EMPLOYER POC ADDRESS1 | 1924 Alcoa Highway |
| EMPLOYER POC CITY | Knoxville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37920 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18655446925 |
| EMPLOYER POC EMAIL | bcox@utmck.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Arroyo |
| AGENT ATTORNEY FIRST NAME | L. Mabel |
| AGENT ATTORNEY ADDRESS1 | 1600 West End Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 2000 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37203 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16157267387 |
| AGENT ATTORNEY EMAIL ADDRESS | marroyo@bakerdonelson.com |
| LAWFIRM NAME BUSINESS NAME | Baker, Donelson, Bearman, Caldwell, Berkowitz, PC |
| STATE OF HIGHEST COURT | TN |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1934 Alcoa Highway, Ste. D362 |
| LCA CASE WORKLOC1 CITY | Knoxville |
| WORKSITE COUNTY | KNOX |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37920 |
| LCA CASE WAGE RATE FROM | 330000 |
| 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 |
| PREPARER LAST NAME | Davis |
| PREPARER FIRST NAME | Shannon |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Baker, Donelson, Bearman, Caldwell & Berkowitz, PC |
| PREPARER EMAIL | smdavis@bakerdonelson.com |
