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NPI 1154770766

IndividualActive

Adam Haymaker

NPI 1154770766 · Physician Assistant · Roanoke, VA

Provider details

NPI number: 1154770766
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: Yes
License: 0110005281 (VA)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense 0110005281 (VA)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

2001 Crystal Spring Ave Sw Ste 201

Roanoke, VA 24014-2465

Phone: (540) 853-0100

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

213 S Jefferson St Ste 1006

Roanoke, VA 24011-1713

Additional practice locations (1)

40 Medical Park Blvd
Suite B
Petersburg, VA 23805-9289
Phone: (804) 520-6730

Registry dates

Enumerated: 2016-06-06
Last updated: 2025-09-25
Certified: 2025-09-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adam Haymaker — NPI 1154770766, Roanoke, VA | NPI Central