Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902836976 Individual Practitioner Male Practitioner

Dr. Jacques Edouard Etienne , MD, FAAP

Pediatrics • Danbury, CT

Professional Overview & Biography Verified Profile Summary

Dr. Jacques Etienne, MD, FAAP is a registered healthcare professional specializing in Pediatrics in Danbury, CT. Practice services are available at 205 MAIN ST. 1ST FL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 Main St. 1st Fl
Optimum Medical Llc

Danbury, CT 06810

Telephone 2037949000
Fax 2037949005
Associated Practice Facility / Clinic
🏢 Optimum Medical Llc Facility NPI 1720215346

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Danbury, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
34 Specialists

Practicing in Danbury, CT (1087 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CT 042829

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NY 233345-1

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
008023919 (CT)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2011

Registered at 205 MAIN ST. 1ST FL, OPTIMUM MEDICAL LLC, DANBURY, CT 06810 (Tel: 2037949000)

📍
Updated Business Mailing Address May 11, 2011

Registered at 205 MAIN ST. 1ST FL, OPTIMUM MEDICAL LLC, DANBURY, CT 06810 (Tel: 2037949000)

👤
Provider Name / Credentials Updated May 11, 2011

Recorded as JACQUES ETIENNE, M.D., F.A.A.P

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2011

Pediatrics (License #042829 in CT)

🟢
Initial NPI Registration & Enumeration July 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902836976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2006
Last Update: May 11, 2011
Sole Proprietor: Yes

Mailing Address

205 Main St. 1st Fl, Optimum Medical Llc

Danbury, CT 06810

Phone: 2037949000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.