MEDICARE: RIVERSIDE PEDIATRICS, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1730063496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERSIDE PEDIATRICS, P.A.

Provider Business Mailing Address
First Line	:	1521 RITCHIE HWY STE 201
Second Line	:
City	:	ARNOLD
State	:	MD
Zip	:	21012-2706
Country	:	US
Telephone Number	:	443-354-4504
Fax Number	:	443-352-0685

Provider Business Practice Location Address
First Line	:	1521 RITCHIE HWY STE 201
Second Line	:
City	:	ARNOLD
State	:	MD
Zip	:	21012-2706
Country	:	US
Telephone Number	:	443-336-8567
Fax Number	:

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	DR. ELIZA HUEBNER
Credential	:	MD
Telephone Number	:	443-354-4504

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	12/01/2025

Similar Medicare Providers

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Practice Location Address:

1521 RITCHIE HWY STE 201
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Practice Location Address:

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1407851587 — DR. STEVEN DOUGLAS ROCK M.D.
Practice Location Address:

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1912906512 — DR. JAMES W RUPPEL MD
Practice Location Address:

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