Provider Demographics
NPI:1740216753
Name:COCHRAN, HUGH TRAPOLD (CRNA)
Entity Type:Individual
Prefix:MR
First Name:HUGH
Middle Name:TRAPOLD
Last Name:COCHRAN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7862 W IRLO BRONSON MEMORIAL HWY STE 722
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-1738
Mailing Address - Country:US
Mailing Address - Phone:832-331-3777
Mailing Address - Fax:
Practice Address - Street 1:1261 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2219
Practice Address - Country:US
Practice Address - Phone:941-366-1164
Practice Address - Fax:941-366-3123
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH064291-23363L00000X, 367500000X
FLAPRN11005445367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86621UOtherBCBSTX
TX183435001Medicaid
TN3627130Medicaid
TX86190UOtherBCBS OF TEXAS
NH30348923Medicaid
TN3627130Medicaid
TX86621UOtherBCBSTX
NH30348923Medicaid
NH002214901Medicare PIN