Three Rivers Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THREE RIVERS MEDICINE LLC

Practice address

456 North New Ballas Road
Suite 126
Creve Coeur, MO 63141-6812

Phone

(314) 605-4052

NPI assigned

Sep 23, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sebastian Rueckert, MDNPI 1356415863

Title

Chief Executive Officer

Phone

(314) 605-4052

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sebastian A. Rueckert, M.D.

  • Emergency Medicine Physician
  • Washington, MO
  • NPI 1356415863
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1982421889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 DIELMAN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 NORTH NEW BALLAS ROAD",
            "address_2": "SUITE 126",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416812",
            "telephone_number": "314-605-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "RUECKERT",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-605-4052",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Solutions, LLC
• Leslie W Thien, CRNA
• Thinkwell Counseling LLC
• Thomas S. Lipsitz, PH.D., Inc.
• Larry Wilson Thomas, D.D.S.
• Erik P Thyssen, MD
• Kelly Renee Tipton, M.A., L.P.C.
• Alayna Titus, MMS PA-C
• TLC Laser Eye Centers (Refractive I) Inc. (TLC Laser Eye Centers St. Louis)
• TMS Therapeutics (Precision TMS)

• Internal Medicine Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.