Provider Demographics
NPI:1588061881
Name:MACMURDO, MAEVE GEORGIA (MBCHB)
Entity type:Individual
Prefix:DR
First Name:MAEVE
Middle Name:GEORGIA
Last Name:MACMURDO
Suffix:
Gender:F
Credentials:MBCHB
Other - Prefix:MISS
Other - First Name:MAEVE
Other - Middle Name:GEORGIA
Other - Last Name:PAYNE-HARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:CLEVELAND CLINIC 9500 EUCLID AVE
Mailing Address - Street 2:#A90
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-633-5863
Mailing Address - Fax:
Practice Address - Street 1:CLEVELAND CLINIC 9500 EUCLID AVE A90
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-3011
Practice Address - Country:US
Practice Address - Phone:216-444-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-02
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD185066207R00000X
ORPG170893207R00000X
OH35.133116207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine