Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073405551 Individual Practitioner Male Practitioner

Dr. Ethan Benjamin Shim , DC

Chiropractor • Broadview Heights, OH

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Shim, DC is a registered healthcare professional specializing in Chiropractor in Broadview Heights, OH. Practice services are available at 1100 W ROYALTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 W Royalton Rd

Broadview Heights, OH 441473946

Telephone 4402301113
Associated Practice Facility / Clinic
🏢 Matthew Stasek Dc Llc Facility NPI 1841552205

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Broadview Heights, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Broadview Heights, OH (2830 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

CMS Verified: 2025-07-17
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OH DC-05473

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1417051046

Doctor of Chiropractic

Dr. Matthew Stasek , DC

Chiropractor - Independent Medical Examiner

NPI 1689956518

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 17, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2025

Registered at 1100 W ROYALTON RD, BROADVIEW HEIGHTS, OH 441473946 (Tel: 4402301113)

📍
Updated Business Mailing Address July 17, 2025

Registered at 1100 W ROYALTON RD, BROADVIEW HEIGHTS, OH 441473946 (Tel: 4402301113)

👤
Provider Name / Credentials Updated July 17, 2025

Recorded as ETHAN SHIM, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2025

Chiropractor (License #DC-05473 in OH)

🟢
Initial NPI Registration & Enumeration July 17, 2025

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: 1073405551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2025
Last Update: July 17, 2025
Sole Proprietor: No

Mailing Address

1100 W Royalton Rd

Broadview Heights, OH 441473946

Phone: 4402301113

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.