MEDICARE: IRELAND MADISON NUSBAUM MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1033054291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRELAND MADISON NUSBAUM MD

Provider Business Mailing Address
First Line	:	H200 MERCY CIRCLE
Second Line	:
City	:	CAMP PENDLETON
State	:	CA
Zip	:	92055
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	H200 MERCY CIRCLE
Second Line	:
City	:	CAMP PENDLETON
State	:	CA
Zip	:	92055
Country	:	US
Telephone Number	:	703-268-9656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

Similar Medicare Providers

1326975699 — NATALIE JUNE ANDERSON DDS
Practice Location Address:

NAVAL HOSPITAL CAMP PENDLETON , 200 MERCY CIRCLE
CAMP PENDLETON, CA
92055

Practice Phone: 760-725-1288
Practice Fax:

1508864711 — DR. BRUCE CHANDLER BAKER MD
Practice Location Address:

NAVAL HOSPITAL
CAMP PENDLETON, CA
92055

Practice Phone: 760-725-1511
Practice Fax:

1891793600 — DR. HAROLD RAY BOHMAN M.D.
Practice Location Address:

NAVAL HOSPITAL , DEPT OF SURGERY
CAMP PENDLETON, CA
92055-5191

Practice Phone: 760-725-1356
Practice Fax: 760-725-0117

1013917038 — DR. WAYNE SCOTT INMAN M.D.
Practice Location Address:

H100 SANTA MARGARITA ROAD , NAVAL HOSPITAL
CAMP PENDLETON, CA
92055-5191

Practice Phone: 760-725-1317
Practice Fax:

1194726943 — JILLIAN ROSE MARTIN M.D.
Practice Location Address:

1ST FSSG, MSSG 15 BOX 555717
CAMP PENDLETON, CA
92055-5717

Practice Phone: 760-725-3785
Practice Fax:

1316948557 — MRS. PRISCILLA HAYFIELD GEORGE AU
Practice Location Address:

NAVAL HOSPITAL CAMP PENDLETON , BLDG H100 SANTA MARGARITA, ATTEN: CODE CS-PA
CAMP PENDLETON, CA
92055

Practice Phone: 760-725-1644
Practice Fax: 760-725-1563

1912908096 — DR. THOMAS MICHAEL GUDEWICZ MD
Practice Location Address:

NAVAL HOSPITAL, CAMP PENDLETON , BLDG H100, SANTA MARGARITA ROAD ATTENTION: CODE CS-PA
CAMP PENDLETON, CA
92055

Practice Phone: 760-725-0074
Practice Fax: 760-725-1190

Directions to “ IRELAND MADISON NUSBAUM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.