Organization Active NPI

LDRT LLC

  • Radiation Oncology Physician
  • Winter Park, FL
National Provider Identifier
1467374157
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
LDRT LLC
Practice address
1561 W Fairbanks Ave Ste 200
Winter Park, FL 32789-4678
Phone
(630) 606-8480
NPI assigned
Jul 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Olga Ivanov, MD
Title
Chief Operating Officer
Phone
(630) 606-8480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

1561 W Fairbanks Ave Ste 200
Winter Park, FL 32789-4678

Mailing address

1561 W Fairbanks Ave Ste 200
Winter Park, FL 32789-4678
Phone (630) 606-8480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1467374157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 W FAIRBANKS AVE STE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894678",
            "telephone_number": "630-606-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 W FAIRBANKS AVE STE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894678",
            "telephone_number": "630-606-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDRT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "IVANOV",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "630-606-8480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.